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~ STATE OF FLORiDA ~'~i
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FDC RORM UC~t-,s DEPARTMBNT OF COMMERCE ~
fREV. ~n» ~
DIVISION OF EMPIAYMENT SECURITY
TALLAHASSEE 32304 Aecouat No. 198208-A
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~ ~ NOTICE OF TAX LIEN NO'
Pursuant co the p~ovisions of Section 443.15 (3) (a), Florida Statutes, known as the Florida U~-
emgloyment Compensation law, notice is hereby given thac the~e have been assessed, pursuant to the
provisions of said law, against 8 and B Sxcavating Contractors o~ Ft. Pier~e,~ Tns~
(A Florida Corporation)
5512 Pinetree Ar~ve
Ft. Pierce, Florida 33450 ~ -
an "employer" liable for the payment of contributions to' the Unemployment Compensation Fund of
Flocida, pursuant co che provisions of said law, che sum of S 23.83 covering che folloaeing
contributions, inceresc and penalties, ahich afcer demand for payment thereof remain unpaid, and
that by virtue of che above mentioned law the amounc of said concributions (taxes), cogether with _
penalcies, intere~t, and costs that may accrue in addition thereto, consticute a lien in favor of Stale ot
Florida Departmeat of Commeree upon the citle to and inceresc;' whecher legal or equicable, in any real
property, chattels reat, or personal property of said employer.
Periods for which contribucions, interesc, and penalcies have been assessed, apd che amouncs
thereof, are as follows ~
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_ tNTEREST TNROUGH ' -
PERIOp CONTRIBUTIONS AENAI.TIES
~ 4/74 23 19 69
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~ i~. UCIf ~+DUNTY
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~ WITNESS THE OFFICIAL SEAL OF THE STAT E OF FIARIDA DEPARTMEIVT OF COMMERCE
~ a~1` iLe 6aod of the Direcbr of the Dlvision of Empbymeat SecuritY thereof. at Tdl~hassee. Florida,
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~ ~da~_ot- Auctust , A. D. 19 75
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' STATE OF FLORIDA
: ~ DEPARTMENT OF COMMERCE
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~`.tp y~~prepared bv:
~ .::'!;r,1~;j~ ~'~;;z='
_ `~1~o~rie J. Ingram
Deputment of Commerce D~REGTOR: o~v~s~oa oF
Cddwell Bld~., Tdi~haxx~~, Fla. s' EMPLOYMENT SEGURITV
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