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- STATE OF FLORIDA 2'~5260
FOC ~ORM UC7-t8
,REV. DFP_1RT1fE~T OF CON!NERCE
DI~'lSlO\ OF ENPl.01'~fE\T SE(:URITI'
TALLAHASSEE 32304 :~~cuunt :\o. 191110
1IOTICE OF TAX LIEN LiPn ~o. X-932-A _
Pursuant to thc pruvisions of ~ertion -~~i.15 (i) (a!, Flori~a Statute~, (~nuw•n as thc ~lorida Un-
employmenc Compensation law, notice is hereb}• gi~•en ehat chere ha~•r becn asscssed, pursuant to the
pro~~isions o! said law, against paul W. DaVis , IAC . Of Indian Ri t~~" (A F1 o i da
Corporation~
2428 Atlantir Bau~evard
Ft i rr~P ~ F1nri r~a ~~dSn
an "empto~•er" liabte for the pa}-ment of contributionti to the (;nemploti~menc Cum~ensation Fun~~ uf _
Florida, pursuant co che protisions a( said law•, the sum of 3' 1n~7-8~_ coverinR chc;follo~inK
contributions, interest am~ penaltirs, which aicer demand for pa}•ment thereof re•main unpaid, :~n.+
that by ~~irtue of the abo~~r mentioned law• the amount of sai~l contributions ftaxcs), toRether ~~-ith
prnalties, interest, and coscs that may accrue in a.lJition theretv, constitute a lic-n in f:~~•ar uf State oI
Mlurida I~p~rtmet~t of Commrrcru~un the title- to an~i interest, w•hethc•r legal or ryuitablr, in an~~ r~~a!
~ropert}•, chattels rra(, ur persunal propcrt~• o[ said ~:_mplo}~er.
Pe::.~ds far Rhich ~ontributions, ir.terest, 3nd penaltir~ ha~-r b~•cn a~se~srd, and thr aneounc~
thcrc•uf. .:tr as follow•s_
INTEREST THROUG:1
i PERIOD CCNTRIBUTIONS 1~31~'~4 PENALT!ES ~
c
; ' 4th Quarter 1972 133 24 ~ 99 fllf:: ~:fce~ Eo
~ ( lst Quarter I973 322 15 14 50 ST.L:JCtE '?ONTY LA.
= i 2nd Quarter 1973 256 9S 7 71 Rc~=~ ~-FA
` I 3rd Quarter 1973 290 92 c~~P~: c~ ~st -
~ , 4 35 p:rnc-; y:; ;-;cr ~
~ ± ~ fEe 11 ~ Zo H'~~I
~ ~ ~ ~ ' z~5
} . ~ t ; O
; ~ ~
~ I ! ~
[ l ~ y1 ~
r 1 ~
f ~
i i ~ ~ ~
; ~
+ i i
~ TOTAL 1003 26 34 56 ~ ~
- VFIT~ESS THE OEFICIaL SEAL OF TNE STATE OI' t'LOHtU.a UEP:1RT~iF:~T OP CO~t~tERCf -
and lhP h~nd ot the Uirector of the Dii ision of F:mplo~ ment SPCUrih lhrreof, at Tallahn..re, 1~'lorida,
this__4_da~- of February ~j, ~y ~Q"
STATE OF F'LORID.~
- " DFP~RTNF\T OF (:O~iNEHCE
- - . . -
' ~
i~
. - i
~ This ih~tsirmcol prepued~b~: ~
} . •
~lva . Ve Qg~ i e
~t~l~rtftl~t'1 OF C/O~rCC D~RECTOR. OIVISION OF
j ` EMPLOVINENT SECURfTY
Cs~d.Mell ~1dg..;~Tyillahwssee. Fla. ~ ~ ~
. ~ . E : 224 f~~ ~9
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