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~w~v. ~:nu DEPABTl1161YT OF CAMMBRCE ~ ~
DIVLSIOIV OF E~iPiAYMEHT SBCURITY - ?
~ TAi.LAHASSEE 3Z304 Accouat No. eio~a9-B ~
- ~.ien Na _ 7-5777 . ~
NOTiCE OF TAX LIEIV
J$ O p A R D Y
PursuaAt tothc provisions of Section 443.15 (3) (a), Florida Statutes* known~as the Flo~ida Un-
employment Compensacion law, nocice is hereby given chat che~e have been assessed, pursuant co thc .
provisions of said law, against Lewis M. C18AtOA 811d Peqgy lrl. C18~ltOii
~ (~as co-partnera t~ R ta s au y a. . ;
-~'s-Swt~~-~33xd.S.tr.~a.t ~ ~n R1 i ~aheth nr~ve~
.
~ Ft. P3.erce. Florida 33450 ~
aa "em~loyer" liable for the payme~t af contributions to' thc Unemploymenc Compensation Fund of
Florida, pursuaat to the provisions of said law, chc sum of a~ ? 2A -1 coveting the follow ing ;
contributions, interest and penalties, abich afcer demand for paymenc chereuf rc•main uapaid, and
that by virtue of _ the above mentioned law the amount: of said contribucions .(taxes), . togethe~ wich
penalties, interest, attd costs th,ac may acc~ue in add'etion thcreco, canscicncr a lien~ in favor c~ SL4:~ s~!' .
Florida Tkpartmer~t e~ Coma~erce upcm the title to and inc~resc, ~rheth+~i lcga! or cquitable, in any reat
propercy~ chattels real, or personal piopNrty of said empiojter. , .
Periads for +vhich eoncributions, inceresc, and penalties ha~e been assessed, and the amouncs ;
thereof, are as follows: _ . ~ ~
_ - . ~ !
QUARTEp~S) INTEREST TMRdUGH - - ~
OTR. _ YEAR TAXES - - . , ~P~NA~TIES ~
~ . - ~
- .
2 76 - . _ S 00 ~
4 76 ~ 92 72 ~ 10 00 ~ .
1 77 5 00 _ 55 15:00
~
SERYICE FEE OO ~
TOTAL - ~3 9'~ 1 27 30 00 "
~ITIIIESS THB OFFICIAL 3EAL OF TH8 STATB OF FLORIDA DEPARTMEI~IT OF COMMERCE -
+md ~ lund oi We Direear o! ii~e Dtvisto• of E~pb~meot Secar~i~ ~rco~ ae Talia6.rsee, Fbrida,
N~. a;_~. .T~~ 7 y , A. D. 19
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~•'~s:,.x ~ `s STATB OF FLORIDA '
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