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STATE OF FLORIDA '45~~
:.t:s `°a"" "`T_'e~ ~ i DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY
IREV. a/70)
DIVISION OF EMPLOYMENT SECURITY
TALLAHASSEE 32301 Account No. 461295
Lien No. 0-4831
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 law, notice is hereby given that there have been assessed, pursuant to the provisions of said law,
against A T and D Diesel Service, Inc. (A Fla. -Corp .
323.3 D Oleander Avenue
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 184.9 7 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 j
LABOR and EMPLOYMENT SECURITY upon the title to and interest, whether legal or equitable, in any real _ t
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: ~
i
pUARTER(S)- TAXES INTEREST THROUGH pEHALTIES s
OTR. YEAR 2-29-80
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~ 4 79 179 07 90 5 00
~ _ .
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SERVICE FEE
TOTAL 179 07 90 5 00
WITNESS THE OFFICIAL SEAL OF THE STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOY-
~ MENT SECURITY, DIVISION OF EMPLOYMENT SECURITY, at Tallahassee, Florida, f
this, 26 day of March A.D. 1980 ~ 4~~~
X80 APR ! 5 AM a 48
SEAL -
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This instrument prepared by: RE'tfRe VERIFtfp_~b~=1~_ ,
Terry Miller -
Department of Labor and Employment Security ~ . ~ 80011 pa~~174
Caldwell Bldg., Tallahassee, Fla.