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FOC Fwm UCT-18 STATE OF FLORIDA 263~83
(Rev. 7/73) OEPARTMENT OF COMMERCE
~osa OIVISION OF EMPLOYMENT SECURITY
TALLAHASSEE Acoount No.3~2~35`--~
Lien No. V-~~+5
NOTICE OF TAX LIEN
Pursuant to the provisans of Section 443.15 (3) (a), Fbrida Statutes, known as the Florida Unemployment Compensation
law, notice is hereby given that there have been assessed, purwant to the provisions of said law, against
Jerry E StricklsntL '~'/A Str;ek~and~s Air Conditioning Service
P 0 Box 1177
Ft Pierce~ Florida ~~450
an "employer liable for the payment of oontributions to the Unemployment Compensation Fund of Fbrida, purwaM to
the provisions,of raid law, the wm of S 611 . 58 oovering the followirg oontributions, interest and penaltiss, which
after demand for payment thereof remai~ unpaid, and that by virtue of the above mentioned law the amount of said
a~ntributions (taxes), together with penahies, interest, and costs that may accrue in addition thereto, constitute a lien in
favor of State of Ftorida Department of Commerce upon the title to and intErest, whether legal or equitable, in any real
property, chattels real, or personal property of said employer.
Periods for which oontributions, interest, and penalties have been assessed, and tfie amounts thereof, are as follows:
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j PERIO~ CONTRIBUTIONS ~NTEREST THROUGH PENALTIES
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; lst uarter 1 6 43 6 S
a 2nd uarter 1 ' - 11~8 68 16 3
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~ TOTAL - - - - -
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~ WITNESS THE OFFICIAL SEAL OF THE STATE OF FLORIDA DEPARTMENT OF COMMERCE and the hand of the
~ Director of the Division of Empioyment Security thereof, at Tallahassee, Florida, this~~day of SPntember ,
A. D. 19~~.
~ ~ STATE OF FLORIDA
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~ ' ~ ' tiEC~RaEO DEPARTMENT OF COMMERCE
. . . . ~ f11E0 ~~COUNt'~ flA. -
' ~ = St.LV~~E- F~1~ilA5
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~ ~ ~ . . ~ 43 a~~~3
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~ - A~s in3~umen;~pted by:
~ " t:ii;,'~fj~~~~~,t8. Roberts
~ 'Depa~4kieitit offCommerce 263'783 DIRECTOR, DIVISION OF p R Q
~ Caldwell Bldg., Tallahassee, Fla. EMPLOYMENT SECURITY B'~OK~~v ~GE(vo 1 V i
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