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• STATE OF FLORIDA 4~9~
t,HS iORM uET_,a DEPARTMENT OF LABOR /WD EMPLOYMENT SECURITY
IRE V. !1/701
DIVISION OF EMPLOYMENT SECURITY -
TALLAHASSEE 32301 Account No. 459189
NOTICE OF TAX LIEN Lien No. 9-11854 .
Pursuont to-the provisions of Section 443.15 (3) (o), Florida Statutes, known as the Florida Unemployment
Compensation low, notice is hereby given that there hove been assessed, pursuant to the provisions of said law,
ogoinst E. H. and S. Enterprises, Inc. (A Fla. Corp. )
787 E. Prima Vista Blvd.
Port St. Lucie, Fla. 33452
an "employer" liable for the payment of contributions to the Unemployment Compensation Fund of Florido,
pursuant to the provisions of said law, the sum of s 256.40 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
s as follows:
i
' ~ QUARTERIS) INTEREST THROUGH
TAXES PENALTIES
;QTR. YEAR 9-3U-7
4 78 141 75 5 67
1 79 (sal.) l06 32 _ ~~~9 ~0'~ 23 i~2 _
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ST. WCIE CGIiH f Y. 1:..
ROGER POITR.`
CLERK CtP:CUIT CC' ~T
lttJ('fiRi)1'ERlF!ES'_-p'
4669'T~
w
g SERVICE FEE
TOTAL 2 $ 3
WITNESS THE OFFICIAL SEAL OF THE STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOY-
MENT SECURITY, DIVISION OF EMPLOYMENT SECURITY, at Tallahassee; Florida,
this 12 day of October ~ A.D. 19 79
SEAL
j
This instrument prepared by:
>Kary Abbott - e~x3~0 P~E2495