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' STATE OF FLORIDA ~'f
?.t~.~ FORM UCT-id DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY
~Re~. ei~e~
DIVISION OF EMPLOYMENT SECURITY
TALLAHASSEE 32304 Account No. 064989
NOTICE OF TAX LIEN Lien No. 9-i~as
Pursuant to the provisions of Section 443.15 (3) (a), Florida Statutes, known as ttie Florida Unemplorment
Compensation law, notice is he~eby given that there hove been assessed, pursuant to the provisions of said law,
against Ft. Pierce Cab Company, Inc. (A Fla. Corp. ) -
1228 Orange Ave.
Ft. Pierce, Fla. 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 oi S 3~2~• 82 covering the following
contributions, interest and penolfies, whicl~ after demand for parment thereof ~emain unpaid, and that br virtue
of the above mentioned law the omount of said contributions (taxes), 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 anr real
~ propertr, chattels real, or personal propert~? of said employer. ~
Periods for which contributions, interest, and penalties have been assessed, and the amounts thereof, are
; as follows: ~
~
` QUARTER(S) INTEREST THROUGN
! TAXES PENALTIES
f ~ QTR. YEAR 1 9
; ; 4 77 5 00
~ 1 ~g 4 96 15 00
~ ' 2 ~g 1 56 10 00
~ 247 59 .?~C 15 00
~ 3 78 _ . • : `
~ , I
~ ~a~~ ~ i
~ ii9 ~r~ : ~ ~ I
~ ~
~ I I
~sS~ ' I1`
" . • 1
~ SERVICE FEE ' - ' "
~ i TOTAL
24 59 10 23 45 0 '
i
;a
~ WITNESS THE OFFICIAL SEAL OF THE STATE OF FLORIDA ~EPARTMENT OF LABOR AND EMPLOY-
~ MENT SECURITY, DIVISION OF EMPLOYMENT SECURITY, ot Tallahossee Florida,
~ this 2 day of Feb. , A.D. 19 79 _ ,_,s ~
~ _
y 3 i
~
3~ ~ _
f' SEAL ' ~
~
~ • -
~ This instrument prepared br: , ~
. .
ri ~ovie M. Bauldree
Department of Labor und Emptoyment Sewrity ~n
~ Caldwe{) Bldg., Tollohassee, Fla. B~~K W5 PAf~ 7~
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