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STATE OF FLORIDA Z~OSSB .y
Foc FoRM ucr -,e UEPARTNE~IT OM COMN~RCE
tREV. 7.73)
_ DiVIS10N OF EMPLOYMENT SE(:LNITti~
TALLANASSEE 3230# Account tio. 3k5795
~iOTICE OF TAX LIEN Lirn ~Io. W-803
Pursuant tu thc pravisions of Section ~~i.15 (i) (a), Flori~la St~~wtrs, knoan as thr Florida t;n-
cmplo}'ment Compensation law~ notice is hereb~~ given that there ha4~e been assessr.~, pursuant to chc
provision~ oi said law, againsc Grej~ Taxicab Service. Inc (A Florida Cor~oration)
1311 North 2~.th Stree - ,
Ft Pierce, Florida ~~454
an "employer" liable (or the payment of rontributions to the l;nemployment Compensatiun Fun~l o(
Florida, pursuant to the pro~ isions of said laR, the sum of S>>~3 - 3o coverinR the f~lluH inK
contributions, interest an~t penalties, which af!er demand for paymenc thereof rcmain unpai~i, and
thac by virtue of the abo~•e mentioned law~ the amount of said contributions (taxes), cogether w•ith
penalties, interest, and coscs that may accrue in addition thereto, constitute a lien in ia~~or uf State ot
! Florida Uepartm~nl ot Commerc~ upon the ticle to and interest, R•hecher le~al ur cyuitablr, in an}• rral
~ property ~ rhattels real, or personal property of said employer.
Peri~ds for ahich concributions, ir.terest, and penalcirs ha~•e been assrssed, and the amoun~s
i
thc rrof. are as (ollows:
o -
s
s{{{
4 INTEREST THROUGH
! PER100 CL'NTRIBUTtONS PEtiAlT1ES
~ i
~ ~ lst Quarter i96 36 06 9 38
~ 2nd Quarter 196 116 0~+ 30 17
~ 3rd auarter 196 159 23 39 O1
~~th Quarter 196 101 08 23 25
~ I lst Quarter 197 95 96 20 63 I
~ 2nd Quarter 197 112 58 22 52
' 3rd Quarter 197 136 67 25 28 ~
~ ~ 4th Quarter 197 143 08 24 32
~ `t lst Quarter 197 Bal. 11 23 16 81
~
~ ,
~ i ~
~ ~
~ -
_ TOTAL 11 3 211 3
- WIT\ESS THE OFFICIAL SFAL OF' THE STATE OF FLORIDA DF.PART~tE\T OF 1:0~1~1ERCF.
and the hand of ihe Uirector ot the Di~•ision oi Emplo~ment Securit~ thereot, ai Tallaha,.ee, Florida,
th~s~.:._day of December . A. D. l9 73
. : . 2'70568
- , ~ STATE OF FLORIDA
. , fiLEO AhD HEG4ROE0 ~y DF.PARTNE;VT OF CON~fERCE
~y _ r, ; , _ ' SL IUCf[ COUNtr FtA.
' ' ROCE~ P011RAS
, . = CIEfiR C:.t~UIT COURT ~
RFr,ORD Y[R~~'if0
ThiR initrumenl p~epar~d b~~:
. : QEC f+l 1 ~ PM'13
~j Alva Yenoskie
Department ot Cummerce D'EMPLOVMENT 9EGURITY F
~ Caldw~ell Bldg.. Tdlahaxsee. Fla. U R~~~ ~(y
d{iJt ?:~t,t ~f
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