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358323~ sTATE OF F1ARtDA ~
Foc FoaM ucT.~• ~
~R:v. ~:na ' UEPARTMENT OF COMMERCE
D1VlSlON OF EMPIAYMENT SECURtTY
TALLAHASSEE 32304 Accoant No. 2~~e~3
NOTICE OF TAX I.IEN Lien No. 7-512
Pursuant co the provisions of Section 4Q3.~5 (3) (a), Florida Statutes~ known as the Florida Un-
employmenc Compensacion law, nocice is hereby given that chere have been assessed~ pursuant to the
provisions af said law, against -$~lC~ F. Yeaxicks III
t/a Underwater Maintenance
P.O. Box 1695 -
Ft. Pierce, Florida 33450
an "employer" liable for the payment of concribucions to~ the l.nemploymcnt Compensation Fund o(
Clorida, pursuant to the provisions of said law, thc sum of S 483.57 covering the foElowing
contributions, interest and pcnalties, which after dcmand for paymc•nt chcreuf remain unpaid, and
that by virtue of the above merttionrd law the amount of said rontributions (taxes)~ together with
penalties, interesc, and costs thae may ae•crue in addicion ch~r~tu, ~onscituc~ a licn in fa:•o: of Stste ot
Florida Deputment ot Commerceupon che citle co and incerrst, whecher irRal or rquitable, in any rcal
property, chattels real, or personal propetty of said employer. -
Peri~ds for ahich contributions, ir.terest, and penalcies ha~•e been assessed, and che amounts
thereof, are as foilows:
GUARTER(5) iNTEREST TiiROUGH ~
~TR, YEAR TAXES I2~31~76 PENALTIES
' Ye r of 1975 24 53 ` 2 82
1 76 10 85 39 ~
' 2 76 8 34 03
~ 3 76 . 2 61 ~
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~ SEpVICE FEE
' TOTAL 456 33 2 24
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~VITNESS THE OFFICIAL SEAL OF THE STATE OF FLORiDA DEPARTMENT OF COMMERCE
' and t6e hand ot We Director of the Dtvtsion of Emplorment Se+cu~ity there~ot. :t Tallahassee, Florida.
' Wis 19 .t.T Januarv . A. D. 19 77 ~
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Deparlme~i~'dl•' inmrr~e P~~ ~rl1Z ~ 1 1~ EMPWYIIIENT~ SECt1R17Y
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