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STATE OF FLORIDA L~4~r99
t.ES °`T''e DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY
(NEV. e; 7e1 ,
DIVISION OF EMPLOYMENT SECURITY
. TALLAHASSEE 32304 Account No. 36 S 16 7 -A
NOTICE OF TAX LIEN Lien No. 9.4124
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 law,
against Gerald Pixle
t a erican
1228 Oran eAve. -
t. fierce, L 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 90.85 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 (taxes), together with penalties, interest, and costs
that may accrue in addition thereto, constitute o 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 follows:
E
QUARTER(S) TAXES INTEREST THROUGH PENALTIES
OTR. YEAR 3.31.79
4 77 00
1 78 1 00
2 78 48 10 00
` 3 78 5 00
,4 78 54 82 55 5 00
I I
I
i
~ ~ SERVICE FEE
roTA~ 54 82 1 03 35 0
WITNESS THE OFFICIAL SEAL OF THE STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOY-
MENT SECURITY, DIVISION OF EMPLOYMENT SECURITY, of Tallahassee, Florida, - . _ r-. ~~CORDED'
this 13 day of AQril , A.D. 19 79 _ --•,J•;TV FL,:.
- = ~ 499
i SEAL .~~7 ~ Z 6 F~ I~ 2
This instrument prepared by: ~ ~
Ellave W. Walker - ~ _ `~~;?:T
Department of Labor and Employment Security - ~QG~ ~7 r~AC: ~?V'!~
Caldwell Bldg., Tallahassee, Fla.