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STATE O~ FI.ORIDA ~ ~ t
wClC FORM UCT. DEPARTMBNT OF COMMERGE ~
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DIY1SlON OF EMPLOYMENT SECURITY
TALLAHASSEE 32304 Acconnt Na 850600
344`752 NOTICS OF TAX LIEN N'" 6-~62s
Putsuant to the provisions ot Section 443.15 (3) (A), Florida Statutcs, known as the Florida Un-
employment Compensation law, notice is hereby aiven that there have bren assessed, pursuant to the -
provisioas of said law, againsc Indian Riverl~d ~ M C A
. _ ~ (A Florida Corporatfon)
903 South 21st Street
Ft. Pierce, Florida 33450
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an "employer" liable for che payment of tontributions to~ thc [inemployment Compensacion Fund of
Florida, pursuaat to the provisions of said law, the sum oi a 308.3'I covering the folio~ri~g
coatributioas, interest and penalties, which after ~lemand for payra~nt thereo[ _cemain unpaid, aod
that by viriue of the above mentioncd law ~c6e amouac..:of said coNtribucions (taxes), -cogether ~ich.
peoalties~ enterest, and costs th~t may arcrue; in additioti thereto, roesticntc a~lien ia~ fa~*or of SWe ot
Floe~da Deputwent oi Coa~merce upan chc iitl~; co and inceresc. whechtr legat o3- equicable, in any real "
property, chattels real, or personal property-oC.said employer. - :
Peri~ds for which contribucions, in~eresc, and ~pet~alcies ha~•e been assrssed, an~ the amounts
; thereof, are as follo~vs: ~
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~ QUARTERIS) " IMT R ST THROUGH :
j pTq. YEAR TAXES PENALTIES
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1 76. 305 32 ~ 3 OS
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SERVICE FEE
?OTAI 305 32 3 05
~ITNES.S THE OFFICIAL SEAL OF THE STATE OF FLORIDA DEPAHTMENT OF COMMERCE
aad ihe hasd ot t6e Dlrector ot the -Dlvtsion ot Employment Secnrity tleereoi, at Tsllah~ssee. Florida.
Wis~_dar, at JulY ~ , ~ A. D. 19 76 ~
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y.• _ _ . - - STATE OF FIARIDA ~
~ ~ ''G ~ DEPARTME:VT OF COMMERCE
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`~it m~r~e ~ A A I~~ DIRF.(.'POR, DIViS10N OF
Cald~ Tdlaha~~ee. ~1~. a~`3~ 0 R ~ ~e~
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