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STATE OF FLORIDA
~.ES °`T''s ~ DEPARTMENT OFiABOR AND EMPLOYMENT SECURITY
(NEV. 4~~~
' DIVISION OF EMPLOYMENT SECURITY
TALLAHASSEE 324 Account No. 346498
NATlCE TAX LIEN lien No. 9-6920
JEOPARDY '
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 Edward Hill t/a Hill's .plastering
1413 G. Terrace
Ft. Pierce, FL 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 524.68 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 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
i
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:
QUARTER(S) TAXES INTEREST THROUGH PENALTIES
QTR. YEAR
3 78 164 6 57 15 00
4 78 116 45 2 91
1 79 202 50 2 03 15 00
~~~96~
` ~ 19 AUG 14 ~ PN ~
FtIEpp AMO RECORQEO
ST.Ll1CfE pD~18YAF~A.
I CI~~tRCUIT COURT
SERVICE FEE
'TOTAL 483 17 11 51 30 00
WITNESS THE OFFICIAL SEAL OF THE STATE OF FLORIDA DERytRTA~ENT OF LABOR AND EMPLOY-
MENT SECURITY, DIVISION OF EMPLOYMENT SECURITY,. at Tal(gh~Fsee, Florida,
this 2 day of Ju~Y , A.D. 19 '~9, ~ ~ ~ ; ~ -
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This instrument prepared by: ~ - ~ j
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William Ninchliffe ~
Department of Labor and Employment Security - ~ - ~ Pb6E~,~~'
CQldwell Bldg., Tallahassee, Fla.
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