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STATE OF FLORIDA Q~~a _
L.ES soRw ucr-te, _ _ _ _
(R[V. si»? DEPARTMENT OF LABOR NdD EMPLOYMENT SECURITY
DIVISION OF EMPLOYMENT SECURITY -
. TALLAHASSEE 321 account No. 4 3 512 9
- f110Tf~E OF TALC LiEf11 Lien No. 9-13374 -
J B 0 P A R D 3 -
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 Charles Treat
T/A Chucks Auto Body Repair ~ _
412 Faraers l~iarket Road Ft. 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 of s 233.06 covering the following
contributions, interest and penalties, which after denand 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, vrhether legal or equitable, in any real
property, chattels rsal, or personal pnpertr of said employer:
Periods •for which contributions, interest, and penalties have been assessed; and the amounts thereof, are
os follows:
f~ QUARTER(S) INTEREST Tl~ROUGM
QTR. YEAR TAXES 10-31-79 - PENALTIES
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2 ~ 79 111 24 1 ! 67 15 00
3 79 105 15
JA 22 PM!- ~ 24
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YE 0
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SERYItE FEE
TOTAL 216 39 1 67 15 00
WITNESS THE OFFICIAL SEAL OF THE STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLO~-
MENT SECURITY, DiYISION OF EMPLOYMENT SECURITY, at Tallahassee, Florida,
this 21 day of November A.D. i4 79 "
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This instrument prepared by: ° ~ ~ '
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Dovie K. Bauldree ~ ~ ~'''j
Deportment of Labor and-Err~loyment Security ~ Yr''t`'"~~-~ PEE Vg~
Caldwell Bldg.; Tallahassee, Fla.. _ s