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STATE OF FLORIDA
FDC iORM UGT-18 DEPARTMEhT OF COMMERCE ~ro7p~3
(REV. 7/73)
DIVISION OF EMPLAYMENT SF.CURlTY
TALI.ANASSEE 32304 A~couai No. 123137-A
NOTICE OF TAX L.IEN j.icn No. 4-3693
J E O P A R D Y
Pursuant to the provisions of Section 443.15 (3) (a), Florida Statutes, known as che Florida Un-
employmenc Compensation law, notice is hereby given that chere have been assessed~ pursuant co the
provisions of said law, againsc 4uality Enterprises, Inc. (A Florida Corporat~on)
T/A Burger Chef of Ft. Pierce
2410 South U.S. 1 Ft.Pierce, Florida 33450
an "employer" liable for the payment of contributions to~ the L'•nemployment Compensation Fund o(
Florida, pursuant to the provisions of said law, the sum of ~ 214.52 covering thc folloning
contributiuns, interesc and penalties, w•hich after demand for payment therea[ remain unpaid, and
that by ~~irtue of the above mentioned law~ the amount of said contributions (taxes), together w~ith
penalties, interest, and costs that may accrue in addition thereto, constitute a lien in fa~~or of Stat~ of
Ftorida D~p~rtment of Commerceupon che title to and interest, w•hether tegal or equitable, in any rc:11
property, chattels real, or persona) propercy of said employer.
Per:~ds for ahich contributions, interest, and penalties ha~•e been assesscd, a~d the :imount~
chereof. are as follows: '
i E T OUGH
~ PERIOD CONTRIBUTIONS PENALT~ES
0
~ 5 00
2nd Quarter 1973
~ 3rd Quarter 1973 - 8 00 52 70 00
~ 4th Quarter 1973 20 00 1 00 55 00
lst Quarter 1974 20 00
~ 2nd Quarter 1974 5 00
i 3rd Quarter 1974 20 00 j 10 00
~ ' ~
~
~ ~
~ (
~ C
~ TOTAL 4~ ~0 ~ ~V~ o0
~"f
Y ~
'3_
= WIT~iF.S.S THF OFFIGIAL SEAL OF THE STATE OF fLORIDA DEPART11E~iT OF C0~1~1F,R(:E
~ and the hand of the Direclor of the Division ot Employment Securil~ thereot. at TallahatiSee. Florida.
~ thi4~-day oi Uecember . A. U. 19 74
~ ~ - . .
~ ' • FILEO ~hC ~~GURDE~ ~ -
~ SL ~puC~E ~o~NTY fU. STATE OF FLORIDA
~ ~ • f~~lit.t~ ~U~jf~{~S -
CIERK i~ ~OU 6' ~ DEPARTNE~T OF (:OtitHERCE
~ ~ J, ~ ~ RFC7P.~ `!c N ~
~ - . '75 •
i i. s~ eH
This ip~trument prep4r.ed' by:
~
~ Alva B., V~fid~kie
~ , ' t DIRECTOR, DIVISION OF
Uepartment oi Commerce 2.38333
~ ~.YI(~N'PII BI(Ig.~ Tallahas~eP. I'~IY. O R EMPLOVMENT SECURITY
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