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- • STATE OF FLORIDA
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fDC ~ORMYCT.~. ~ DBPARTMENT UF COM~IERCB
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~ ~ DIVISION OF FaIiPLOYMBNT SECURITY p
344'750 T~ANASSEE 32304 A~o„p~ n0. 190867 #
NOTICE OF TAX LiEN Na 6-8907
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J S O P-A R D Y
Pursuant to cbe provisioas of Sectio~ 443.15 (3) (a), Florida Statutes. knowo as che Florida Un-
employment Compeasacioa law~ nocice is hereby given chac che~e-have bce~ assessgd, ~ursuant to the
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provisions of said la~r, aaaittst ~rqency Medical Servives, IAC. (A FlOfd.da • _
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P. O. Box 4133 '
_ Ft.. Piexce,. Florida . _ 32952 _ _ _
an "employer" liable for the payment of contributions to' the LnemPtoymenc Compensation Fund of ~
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Florida, pursuaat to the provisions of said law, the sum of : 411. 70 covering the folloRing ;
concributions, interesc and penalties, which afcer demand for paya?cat thereu[ remain unpaid, aad ' _
that by virtue of the above mentioned !aw the amouac-~of said contrib~tioas:lta~es~, tegecher aith -
penalties~ inte~est~ and costs tha~ may accrue in addicio~i theretQ, coostitntc a jien in~a~vor of State ot
Fl~etda Departa~ewi otCsae~ereeupoa the cicl~~to and iqceresc, whech4~` legal-ol~-cquicttbt~. in aay seal
propeny, chactels real, or pe~sonal property of said employer. -
Periods for ahich coacribucions, incerest, and penaltics ha~~e been assessed, an~ che amouncs
thereof, are as follows: ~ : ' ~ ; _ - -
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OUARTERIS) iNTER ST TNROUGM "
~ Q~~ y~p TAXES . 6_ ,PE~lALT1ES
' 3 75 150 DO 6': 75 -A _ 25 00 .
4 75 150 00 4 50 25 00
1 76 30 00 ~ 45 . 20 00:
SEAYICE FEE
TOTAI 330 ~Q 11 70 70 Q~
~ITi~ESS THE OFFICIAL SEAL OF THE STATE OF FLORIDA DEPARTMENT OF COMMERCE
aod t6~~ ot We Dirrc/or o! the Divisioa ot Employment Seeurit~ thereot. at Talla6assee. Florida.
Wb 1 dq of August . A. D. 19 75
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~ ~ ~ ~ ' flLEO AN~ RECOR~EQ STATE OF FLORtDA ~
: • • DEPARTME:~T OF COMMERCE
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~ ' , RO.r,ER P01~RAS ~ .
~ ~ ^ ' " ~ CLERK CiRCUiT COURT ~
:-'c' ~,j . - RECBRDYER~fIEO..~....~
-This i~iinAtent p, F br: `
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- • /1. J. McMULL1AN 111
~`~~p DIREC7'OR, DIVIS[ON OF
!Dlpa~~iAfl~ 4~~ merce . 344'750 EMPLOYMEM' SECURIIY
C~ld~e~ Tdlaba,~_+er. E la. ~001«.?tJ I PACE Q1~