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STATE OF FLORIDA ~ ~
t.ES °`T"'s DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY
IaEr. snsl
DIVISION OF EMPLOYMENT SECURITY
TALLAHASSEE ~23Q4 Account Nor. 10781~gA
. NOTICE OF TAX LIEN l.~en No. 8-12392
JE.OP ARDY
Pursuant. to the provisions of Section 443.15 (3) (a), Florida Statutes, known as the Florida Unemployment
Compensation law, notice is hereby given that there have been assessed, pursuant to the provisions of said low,
against _ John H. Riley
T/A Johns Bar B Q
708 Anita Street
Ft. Pierce, Florida 33450
an "employer'~ liable for the payment of contributions to the Unemployment Compensation Fund of Florida,
pursuant to the provisions of said law, the sum of S 1469.52 covering the following
contributions, interest and penalties, which after demand for payment thereof remain unpaid, and that by virtue
of the above mentioned law the amount of said contributions (foxes), together with penalties, interest, and costs
that may accrue in addition thereto, constitute a lien in favor of STATE of FLORIDA DEPARTMENT of
LABOR and EMPLOYMENT SECURITY upon the title to and interest, whether legal or equitable, in any real -
property, chattels real, or personal property of said employer.
Periods for which contributions, interest, and penalties have been assessed, and the amounts thereof, are
as foiiows:
~ QUARTER(S) INTEREST THROUGN
TAXES 1 -30- 8 PENALTIES
QTR. YEAR.
6 -
3 77 39 15 00
4 77 13 15 00
~ I 1 78 450 00 1 75 25 00
2 78 450 00 00 25 00
3 78 450 00 25 10 00
" ~tLEJ ; tip RECOR
,.~0.~-v i A.
- _ - ~ _
42~3~49
~~r Z ! ~M ILA ~ 42
SERVICE FEE
TOTAL 1350 00 • . . ' z '•;2. ~~2 90 00
_
WITNESS THE OFFICIAL SEAL OF THE STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOY-
MENT SECURITY, DIVISION OF EMPLOYMENT SECURITY, at Tallahassee, Florida,
this 8 day of DecembE•r , A.D. 19 78 _
• „ • ~
SEAL' • :
r
- . .
This instrument prepared by: _ ~
-
- - ,
Marv Frances Anderson
Department of Labor and Employment Security 600K PAGE 500
Caldwell Bldg., Tallahassee, Fla.