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STATE OF FLORIDA 3
`°RE~ eiisl DEPARTMENT OF LABOR /WD E~tIPLOYMENT SECURITY ~ . -
DIVISION OF EMf~.OYMENT SECURITY '
TALLAHASSEE 32301 Account No. 455971
Lien No. 9-7646
NOTICE OF TAX LIEN
Pursuant to the provisions of Section 443.15 (3) (a), Florida Statutes; known as the Florida Unemployment
Compensation law, notice ishereby given that there hove been assessed, pursuant to the provisions of said low,
against Hehiga, Inc. (A Florida Corporation) {
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Rt. 1 Hox 407
F fierce,
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 821.08 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
property, chattels real, or personal property of said employer.
Periods for which contributions, interest, and penalties have been assessed, and the amounts thereof, are
os follows:
QUARTER(S) INTEREST THROUGH
TAXES PENALTIES
QTR. YEAR ~ -
2 78 470 54 25 8 ~ f
3 78 312 17 12 9
_454969
I9~9 AUG 14 PM ~ I
- t EIlCf C RECT~Y A.
~ tea
CL ~tRPittIT T
ttEta~to VERIFIED
SERVICE fEE , ~
a
TOTAL 782 71 ~ 7' 1
i• _ 'a!t!i!!
WITNESSTHEOFFICIAL SEAL OF THE STATE OF FLORIDI~ ~ _ _ ~~OR AND EMPLOY-
MENT S20URITY, DIVJuION OF EMPLOYMENT SECURI~Yq nt;'#pilQhp' _ . s _
this day of Y A.D. 19 ,;f'' - ,-i•"
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jai, ~ : ` : ~ - ' 4'w, . = .
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This instrument prepared by: _ ~ r
Davie M. Bauldree
- . Bn01(~4 PAGE
Department of Labor and Employment Security
Caldwell Bldg., Tallahassee, Fla.