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STATE OF FLORIDA ~ #
Foc FoRM ucT-,e ' DEPARTMENT OF COMMERGE '
iREV.7/)3) ' °
. DIYlSION OF EMPLOYMENT SECURITY . .
TALLAHASSEE 32304 . Account 1Vo. 191110
NOTICE OF TAX LIEN Li~n No. 5 30
284~12
Pursuant to the provisions of Section 443.15 (3) (a). Florida Statutes, knoan as thc Florida Un- ,
employment Compensation law~ notice is hereby given that there have been assessed, pursuant co che ;
provisions of said law, against Paul W DSVis, Inc Of Indian Ri v_r (A Fl nri Aa '
Corporation)
2428 Atlant~~ Boulevard
Ft. Pierce.~ Flerida 3~4Sp _
an " employer" liable for the payme~t of contributions to~ the Unemployment Compensacion Fund of
Florida, pursuant co the provisions of said law, che sum of E 7~ ~g _covering che foltoping
contribucions, interest and penalties, which afcer demand for payment thereof remain unpaid, and
that by virtue of the aboce mentioned law the amount o[ said concributions (taxes), together w ich ~
penalties, interesc, and costs that may accrue in addition thereco, conscicute a lien in iavor of State oi
Florida Deputisent oi Commeree upon che title co and interest, whecher legal or equitable, in any rc al
propercy, chactels real, or personal property of said employer.
Peri~is for ~rhich contributions, interest, and penalties haee been assessed, and the amount~
; thereof, are as follows:
~
k
~ INTEREST THROUGH
PERIOD GONTRIBUTIONS C PENALTIES _
..7
i
1 22 lU UU ~
4th Quarter 1973 61 16 -
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TOTAI 61 16 1 22 l~
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~ WITyE5S_ TNE OFFICIAL SEAI. OF TNE STATE OF FLORIDA DEPARTME~iT OF CONNERCE
~ and the •1f~nd,,of tbe pirector of the D'evision of Emplo}'meni Securitv lhereof, at Tallahassee, Florida,
~ this y~~ 3 d`ay: •°f-~~~ JUl1e , A. D. 197 4 ~
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, ' • - ~ ` ~ STATE OF FLORIDA
a s~ ~ =~1.~0~~~94UN~Y~~~. DEPARTMElVT OF COMNERCE
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This i~~e~~r~pared by: py 1Z~ ,
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Doris J. Ingram ~ ~
Department ot Commerce OIRECTOR, oivisioN oF ;
EMPtOVMENT SECURITV
" Caldwell Bidg.. Tallahassee, F la. Tr:a ~
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