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STATE OF FLORIDA
. FOr FORM OLT-1• DEPARTMBNT OF COMMERI:E ~
INEV. 7/731
- DIV1SlO1V OF EMPLOYMBIVT SECURITY
~ TALLAHASSEE 32304 Aecouat Na 1c ~ 2 g9
31~892 11ea Wa 5-10539
NOTICE OF TAX LIEN
. Pursuant co the provisions of Section 443•15 (3) (a), Florida Statutes, known as the Florida Un-
employment Compensacion law~ notice is hereby given that there have been assessed, pursuant to the
provisions of said law, againsc American Gateways Inc.
(A Florida Corporation)
Box 245
Fort Pierce, Florida 33450
an "employer' liable for the payment oE contributions to~ the Vnemployment Compensation Fund of
Florida, .pursuanc to che provisions of said law, the sum of = 28.2~L covering the folloaing
contributions, incerest and penatties, ahich afcer demand for paymenc thereof remain unpaid, and
that by virtue of the above mentioned law che amount ot said contributions (taxes), together with
penalties, interest, and costs t6at may accrue in addition thereto, conscitute a lien in favor of State oI
Fiorida Departmeat of Commeree upon the title co and interesc, whec6er legal or equitable~ in any real
property, chattels real, or personal property of said employer.
Periods for ~vhich~•contribucions~ interest, and penalcies have been assessed, a~d che amouncs_
' thereof, are as follows:
f ~
I
k ~
~ INTEREST THROUGN
PERIOD CONTRIBUTION5 9~ O~'~ F?ENALTIES
4/73 5 00
3/74 , 5 00
4/74 (Bal.) 18 29
4
f
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1
TOTAL Z~ Z9
~
~
~ ~VITNESS THE OFFICIAL SEAL OF THE S'f'ATE OF FLORIDA DEPARTMENT OF GOMMERCE
~ aaJ, of t6e Dueetor ot ihe Division of Employment Securitr lhereoi. at Tallahasset. Florida.
~ y~i ~ctc~Lier . A. D. 19 75
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. ' ~.:,~r~x 4Ep ~'~~~tL3~``~~D STATE OF FLORIDA
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r~ ,yt_ ~Q~~a ~pi!~?S ~ DEPARTMENT OF COMMERGE
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'1~%fi' `1 epared br: i~ ~7 la IK~ ~
. ~ ~ Crew, Jr.
DeFartment o~ Cummrree ~~`~v~~ o~~ec*oR, o~v~s~on oc -
P EMPIOVMENT SECURITY
Cald~ell Bldg., Tailaba.i~PP. F I,~. g00K~~~ PACE
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