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STATE OF FLORIDA 4~~z ~ /
l.H:~ iOMIJ UCT-1d DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY .
IRE V. ei7ei
DIVISION OF EMPLOYMENT SECURITY
TALLAHASSEE 32301 Account No. 4 5 9 6 5 6
NOTICE OF TAX LIEN Lien No. 0-2714
J B O P A R' D Y
Pursuant to the provisions of Section 443.15 (3) (a), 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,
against Rolland St. Germain and Sons of Florida, Inc. (A Fla. Corp.)
1130 South 7~` Street
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 2110.75 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
as follows:
A
QUARTER(S) INTEREST THROUGH `
uTR_ YEAR TAXES O1-31-8® PEHAlT1ES
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2 79 2025 00 60 75 25 00
4'~~I~462
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VERIFIEO
SERVICE FEE
ToTA~ 2025 00 60 75 25 00
WITNESS THE OFFICIAL SEAL OF THE STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOY-
MENT SECURITY, DIVISION OF EMPLOYMENT SECURITY, of Tallahassee, Florida,
this 27 day of February , A.D. 19 80 .
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SEAt_
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This instrument prepared by: ' /
v sr
Alva B. Venoskie '
Department of Labor and Employment Security
Caldwell Bldg., Tallahassee, Fla. gpp ~ PdGE~~
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