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w . _ STATE OF FLORIDA ~1522
FOC FORM UCT-~~ pgppRTMBNT OF COIMMERCF
~R~v''n'~ DIVLSION OF BMPIAYMBNT SECURITY
. 'I`AI,I,AHASSEE 32304 A«oa,c No. 215590
NOTICE O~ TAX LIEN N°'
J$ O P A R D Y
Pursuanc to the provisions of Section 443.15 (3) (a), Florida Statutes, known as the Florida Un-
employment Compensation law, notice is hereby given that there have been assessed, pursuant co che _
provisions of said law, againsc pas ua3e Ci 11oAe T/A Pasquales Restatlrant
an Coc tai Lounge
2301 North Federal Highway ,
. Ft. Pierce, Florida 33450
an "employer" liable for che payment of concribucions to' the Unemploymenc Compensacion Fund of
Florida, pursuant to the provisions of said law, the sum of s 80.33 covering the following
contribucions, interest and penalties, w6ich after demand Eor payment thereof remain unpaid, and
that by virtue of the above mentioned law the amounc of said contributions (taxes), together wich .
penalcies, interest, and costs that may accrue in addition thereto, conscitute a lien in favor of S1ale oi
Ftorida Departmenl of CommerCeupon the title to and interest, whecher legal or equitable, in any real
property, chattels real, or personal propercy of said employer.
~ Periods far w~ich contributions, inceresc, and penalties ha~e been assessed, and the amouncs
chereof, are as Eollows: _
INTEREST TNROUGH
pER~pp CONTRIBUTIONS PENAl.T1E5
lst Quarter 1974 34 64 69
2rid Quarter 1974 35 00 10 00 ~
~
TOTAL ZO OO
~1TNESS TNE OFFiCIAL SEAL OF THE STATE OF FLORIDA DEPARTMEIVT OF COM,NERCE
and e 6aad af ILe Direcbr o( ihe Division of Employment ~~ity thereoi, at Tall~hassee. Florida.
~ day ot September ~ A. D. 19
~~~IE ~I1~TT /LL STATE OF FLORIDA
. ; _ : ~ . ER POIT~Af ~ DEPARTMENT OF CONAfERCE
- i OI.ESK CIRCWT C41MT
~ . REC011011ERME0
.
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~f ~ ~ O~REGTOR,D~VISION OF
DtpN'~I<Q! O~ COMIi~liCC e~ EMPLOYMENT SEGURItY
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