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STATE OF FLORIDA ~cA
FDC Form UCT-18 DEPARTMENT OF COMMERCE
(Rev. 12/7`0) DIVISION OF LABOR AND EMPLOY11lENT OPPORTUNITIES
TALI.AHA3SEE Account No. i~ 4~~__ n__
Lkn No, o- 6 51~ r
NOTICE OF TAX L1EN -
Pursuant to the provi.~ions oi Sectiore 445.15 (4) (a). Ftorida Statutes. known aa the Flo~•id~ Un-
employment Co~npensation law. notice is hereby Qiven that there have been asaease~i. punuRnt to the
p~bviaione of aaid iew. aRainat Timath.y Davis and En~ene Scott as co-partners
T/A Davis and Scott Construction
2807 Avenue "H"
Ft. Pierce, Florida 33450
an "employe~" lial~le for the payment oi contributionR to the Unemployment Compensation Fund ai
Florida. purauant to the pro~iaiona u! saici law. the aum oi ;-T2 ,~8 coveiin~ the folbwins
cantributiuna~ interest and penaltiea. which aiter demand ior payment thereof rem~in unpaid. snd
Lhat by victue of the alwve mentioned law the amount oi said cnntributions (t~xes). totether rvith
penalties. interest, an~ coata that may acc~ve jn a~i~lition the~Yto. conatitute • llen in f~?vor of Btste et
FloNda Uepartment oi Commeree upon the title to and interest. whether IeR~i or equitable. in any re~l
property~ chattele real~ ur pe~~sonal property of aaid employer.
Perioda for which cont~~ibationg, i~tereNt. xnd penaltiea have been assesaed. ~nd the amounte
thereof. are as follov?a:
~u~wo ew+T~i~uTioNS - 1- 2 ~w~~nss
4 I I I ~ ~ 1~ -
' lst uarter 1 2 81 ~+2 1 22 5 00
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WITNESS THE OFFICIAL SEAL OF THE STATE OF FLORIDA DEPARTMENT OF COMMERCB
; and the hand of the Directnr of the Divi~ion o! I.abor ~nd Employa?ent Opportunitie~ thereof. at Tatl~hawee.
; Florida. thi~1~day oi Au~ust . A. 0. 1S 72
~ F~~EO ""t~ qE~o~oE~ STATE OF FLOttIDA
Sj• lUC1! ;ttk111 f L~. ` -
t SEAL aoc: ~-~AS DEPARTMENT OR COMMERCE
E ~ C~EE~K C l";c L+T CfiURt
~ . QFn~n Jr:_ cifU
~ Thi~ inttrument *rspsred by: ~l 24 PK ~~Z
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t 9 _ T.enn F_ WesavPr Tr _ 23~668
~ pIRlCTOII, OIYIiIOM 0/
~ ~~rpartment of Commeree ~A~OR AND [MrLOYM[1~lT O//ORTYMITIt•
Cal~1we11 t31dQ•. Tallshs~see. Fla. t~~.~F ~'',4~1 ,
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