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STATE OF FLORIDA ~
t't''~ 'a DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY
AE•~ a per
DIVISION OF EMPLOYMENT SECURITY
TALLAHASSEE 32301 Account uo. 2 8 7 8 3 7
Lien No, 0-4067
NOTICE OF TAX LIEN
J E 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 he?eby given shot there have been assessed, pursuant to the provisions of said (nw,
ngainst_ Allied_ Mat_erial_ Su~nlySornoratiQn (A Fla. CorD~~_
R t . !+_,_--Sox.- -19 5 - - -
Ft..Pierce, Fla. 33450
on "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 2 ,14 0 .00 _ 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 nddition 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 (or which contributions, interest, and penalties have been assessed, and the amounts thereof, are
ns follows:
i _ _ _
j QUARTERIS) INTEREST THROUGH
TAXES PENALTIES
QTR. YEAR 2-29-80
1 79 500 00 25 00 25 00
2 79 500 00 17 50 25 00
3 79 500 00 10 00 25 00
1 4 79 500 DO 2 50 10 00
I ~
i
t
t
SERVICE FEE _ - _
~ ~ TOTAL ~ OOU OU SS 00 85 OU
(
F
WITNESS THE OFFICIAL SEAL OF THE STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOY-
F MENT SECURITY, DIVISION OF EMPLOYMENT SECURITY, of Tollohossee, Florida,
s this- 1~~- --day of_-_"larch A.D. 1980
19~ MAA 20 PM 2 36 •
k
3
F L I:uVA ~ p~, SEAL
ClEltK C1ttCU1T
This instrument pre ored b : ?ft:flRlt~'t~"fir- ~ ~
P y
Rose ffarie Campbell
Deportment of Labor and Employment Security •
I Caldwell Bldg., Tollohossee, Fla. r~~t
~ ~ 6 Utz J~I~ l i ±ti f ~~~F ~ : ~
_