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STATE OF FLORIDA
~.l:S FoaM ~c,-~e DEPARTMENT OF LkBOR /i~lD EMPLOYMENT SECURITY
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DIVISION OF EMPLOYMENT SECURITY
TALLAHASSEE 32301 A~:~~119~9864
NOTI~E OF TAX LIEN l.ien No. 0-20836
J E O P A R D Y
Pursuant to the provisions of Section 443.15 (3) (a), Florida Statutes, known as the Florida Unemplorment
Compensation law, notice is herebr given that there hove been assessed, pursuant to the provisions of said law,
agoinst National Brake and Tune, Inc. (A Fla. Corp. )
3101 A Oleander Ave.
Ft. Pierce, Fla. 33450
an "employer'~ liable for the parment of contributio~s to the Unemplorment Compensation Fund of Florida,
pursuant to the provisions of said low, the sum of S 51~ • 42 covering the following
contributions, interest and penalties, which ofter demand For parment thereo~ ~emoin unpaid, and that by virtue
of the obove mentioned law the amount of said contributions (taxes), together with penalties, interest, ond costs
that may accrue in addition thereto, constitute a lien in favor of STATE of FLORIDA DEPARTMENT of
LABOR ond EMPLOYMENT SECURITY upon the title to and interest, whether (egal or equitoble, in any real
propertr, chattels reol, or personal property of said employer.
Periods for which contributions, interest, and penalties hove been assessed, and the amounts thereof, ore
as follows:
QUARTERt1) INTEREST TMROUGH
TAXES PENALTIES
OTR. YEAR ~1~30~80
2 80 (Bal.) 263 69 7 03 15 00
3 80 231 70
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SERVICE FEE
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WITNESSTHEOFFICIAL SEAL OF THE STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOY-
MENT SECURITY, DIVISION OF EMPLOYMENT SECURITY, ot Tallahassee, Florido, ~
this 3 day of December _ A.D. 1980 ~980 OEC 31 ~I !~ 3~
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~ This instroment prepored br: 'fl"
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Terrv Miller • ~~=
a, .
Department of Labor and Employment Securitr •~•
Caldwell Bldg., Tallahassee, Flo. ~Rt~
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ST.LUCIE CCU!l1Y.f! A.
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