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-STATE OP FLORIDA - ` d~~'~
DES ` t~ siial ' DEPARTMENT OF LABOR MID EMPLOYMENT SECURITY -
' DIVISION OF EMP~.OYMENT SECURITY
TALLAHASSEE 32381. Account No. 701730
NOT1GE- OF TAX LIEN L.len.No. 9-8636 #
J 8.0 P A-R D Y ~
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Pursuant to the provisions of Section 443.15 (3) (o), Florida Statutes, known os the Florida Unemployment
Compensation law, notice is hereby given that there have been assessed, pursuant to the provisions of said law,
against Bennie C. Nilliama
425 N. 18th 3ta~eet -
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Fort 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 +sf~ S i~61,39 covering the following -
contributions, interest and penalties, which offer demand for payment thereof remain unpaid, and that by virtue
of tkeabovementioned 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, ono penalties have been assessed, and the amounts thereof, ore
as follows:
QUARTER(S)- TAXES INTEREST THROUGH pENAITIES
OTR. YEAR w
1 79 102 00 15 39 20 00
~1 SEP 19 PN 2~ 02
" A P'OJT~fIA.
- CtRCNT S?
VER)F)EO
- ` -459~s~3
SERVICE FEE
70TA1 102 00 15 39 20 00
WITNESSTHEOFFICIAL SEAL OF THE STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOY-
MENT SECURITY, DIVISION OF EMPLOYMENT SECURIj~Yg at Tallahassee, Florida,
this _ 6 day of Au9yt$t A.D. 19 -
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This instrument prepared by: ~ . <,~s=, _ ~ -
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y:. 4~'n
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William Hinchliffe b r~~;
Department of Labor and Employment Security ~K
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Caldwell Bldg., Tallahassee, Fla. -