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STATE OF FLORIDA ~G ~
Foc FORM UCT-,. ~ UEPARTMENT OF CUMNERGE ~
~RE~. +Z~~s~ Ul~'lSt01V OF EMNLOYMENT St(:URITY 3344;j~ ~
TALLAHASSEE 32304 Account yo. 127066-A ~
NOTICE O~ T'AX LIEN Lien No. 6-4272 :
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Pursuant to the ~±rovisions e~f Section.443.15 (i) (a), FloriJa Statutes~ know•n as the Florida Un-
employment Compensatian laK, noticc is hcrcby given that there ha~•e dren assessed, pursuant to the
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provisions o( said law, against Wll ll Vn G. Cooper ~ '
. T/A Key Way Products . - ~
P.O. Box 1689 ~
' Ft.Pierce, Florida 33450 ~
a~ "employer" liable for the pa}~ment of cuntributions to thr 1'numplo}•mrnt Compensation Fund of ~
204.30 ,
I=lorida, pursuant to thc pro~~isions ~f sai~~ l:iW~, thr sum of S co~•ering thc following
contribuCions, interest and prnaltirs, ~~~hirh afcer ~fe•mand (e~r pa}•ment th~~rcuf rrmain unpaid, and
, that b~~ virtuc of the abo~~c mentionrd law- the amount of sai~l rcintributions ~taxcs), toRrther w•ith
~enalties, interest, and costs that may accrue in a~idition thcrc•tu, conscitut~• a lirn in fa~•or of State ot j
Floriu'a Department'of Cnmmerc~upon thc- titlr to an~i inccr~st, ~~•hcchrr leRa! or cyuitablc, in any~ rcal ~
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property, chauel+ real. or personal prc?prrcy o( said rmplc~}'er. -
Pe:iods for ahich contributions, ir,terrst, an~i prnatri~s ha~-r bern assr„e~3, and thr amounts
thereof, are as follows: .
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~ pUARTER15) INTEREST TMROUGM
! ?TR. VEAR TAXES 3~31~'16 PENAtTIES
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~ 4 75 192 38 1 92 10 00 :
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~ ~ ' 1 '
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~ ~ ~ i ; ~ !
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~ SERVICE FEE ! ~ i
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TOTAL j 192 38 ~ 1, I 92 lO OO '
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a WITNESS THE OFFIGIAL SEAL OF THE STATE OF FLORIDA DEPARTMEIVT OF CONNERCE
~ and the hand of the Director of ihe Uivision oI Employment Securit~ thereot, al Tallahassee. Florida. :
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' this.,._,2y$.__da~• of Agril . A. D. 19 7( ~
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~ - ~.,,y+ ~ STATE OF FLORIDA
~ t - - ~~E~ DEP,~?RTMEtiT OF (:011MERCE
~T;i i1LED AE ~~tiM:~ FlA•
~ `y,•~: St.tU~.~ .i -i!~S
`~F ~s~; ~(~i,i- i :CURT ~
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c ~~~It~r~Mfs!s'+~(l~ ~"trp~r~d b~ , r z ' ~ ~ i ~ • ' f j .
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~ i! ~~rl$~~~,;' Ingram Y/~~ 07 ~ q. J. ~MULLIAN 111
~ ~ DIRECTOR, DIVIS~ON OF ~
~ rnt of (:~~mm~r~c EhIPLOYMENT SECURITY t
~ Galdw~ll 131dg.. Tallaha..r~. E'la. ~ -
f ~/V IAUE ~