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Si!'ATE OF FLORIDA ~ ~ .
FOC FORM ~CT-~s" DEPARTMBNT OF COMMERCE -
IREV. 7/131 '
DIVISION OF EMPWYMENT~SBCURITY ~
TAI,LAHASSEE 32304 Aecount Na 207705 . ;
~:~s~o Na 4-2412 ;
NOTICE OF TAX LiEN E
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Pursnanc Eo the provisions of S.ection 443.15 (3).(a), Florida Statutes, known as the Florida Un- '
employmenc Compensation law, norice is hereby given that there have been assessed, pursuant to che
~ Cyril W. Dodge and William H. Zorn (as co-partners)
provisioas of said law, against -
T/A. Joe and Bill Drywall ~ :
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1710 Boeton Avenue /Apartment A/ I?'t. Pierce, Flor~.da 33450
an " employer" liable Eor the payment of contribucions co' the - Unemploymenc Compensacion Fund uf ,
,
Florida, pursuant to the provisions qf said law, the sum of = 548. 80 covering the folloaing ~
contributions, intrrest and penalties, which afcer demand for paymenc chereof remain unpaid, and
chac by virtue of the above meationed law che amount of said concributions (caxes), togecher wich
penalties, interest, and costs that may accrue in addition chereto, coascicute a lien in [avor of State ot
Florida I3epartment of Commerea upon the title to and incerest, whecher legal or equicable, in any real
property, chattels real,-or personal property of said employer.
i . Periods for ahich contributions, intec~st, and penalties have been assessed, and the amounts "
~ thereof, are as follows: ~ .
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1 INTEREST THROUGN - ~
E pER~pp GONTRIBUTIONS PENA~T~ES
T
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1
3rd Quarter 1973 47 09. 2 59
4th Quarter 14~3 188- 38 7 54
lst Quarter 1974 184 46 4 61 10 0
2nd Quarter 1974 ~~103 10 1 03
TOTAL 523 O3 15 77 10 00
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- WITIVESS THE OFFICIAL SEAI. O~ T~IE ~T~TE QF' FLi~R1UA DEPARTMENT OF COMMERCE
~ and th~ hand of t6e Director of ihe Division oi Employment ~ Security t6ereot, at Tallahassee, Florida,
ihis_-a-1--da7 0[ A. D. 19 74
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s ~ r ~ . a,. : ' ~0 AI~O REO~ROE~ STATE OF FLORIDA
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Z~~ S DEPARTMENT OF COMMERCE
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~p•~ • CiCE DIREGTOR, D~VISION OF
EMPLOYMENT SECURITV
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