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STATE OF FLORIDA ~0"~'s•Ss
l'E•S i0'REY. a ie' DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY
DIVISION OF EMPLOYMENT SECURITY
TAIIAHASSEE 32301 Account No. 4 6 7 6 2 7
NOTICE OF TAX LIEN `'i`nn 0-1811s
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 C And A Mexican Imports And Crafts, Inc. (A FL Corp.)
8000 South Federal Highway
Port St. Lucie, Florida 33452 -
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 94.95 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:
f
f i QUARTERIS) TAXES INTEREST THROUGH
PENALTIES
~ OTR. YEAR Q $Q
j 1 80 27 00 68 25 0
i 2 80 27 00 27 15 0
E
i F
j
K
S
~ ~
' SERVICE FEE
TOTAL 54 00 95 40 0
s
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WITNESSTHEOFFICIAL SEAL OF THE STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOY-
; MENT SECURITY, DIVISION OF EMPLOYMENT SECURITY, at Tallahassee, Florida, r'
this 15 day of October A.D. 19 80. 13 r')
i _
I
SEAL , _ -
~ This instrument prepared by:
Larry Johnson '
Department of Labor and Employment Security
Caldwell Bldg., Tallahassee, Fla. ~IfKI
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