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Sl 2904 ~i
STATE OF FLORIDA
~'~~ `° E~ a;;s, DEPARTMENT OF l.ABOR AND EMPLOYMENT SECURITY
DIVISION OF EMPLOYMENT SECURITY
TAII.AHASSEE 32301 Accuun~ No. 46n24(t
NOTICE OF TAX LIEN `•~en Nu. 0-21855
. J E 0 P A R D Y
Pursuant to the provisions of Section 443.15 (3) (a), Florida Statutes, known as the Florida Unemplorrnent
Compensation law,.notice is hereby given thot there have been assessed, pursuant to the provisions of said law,
against Two And Three Comaanv (FL- CorD. )
T/A Embers
1812 S. Federal Hwy.
Ft. Pierce, FL 33450
an "emplorer~~ liable for the parment o~ contributions to the Unemplorment Compensation Fund of Flo~ida,
pursuant to the provisions of said low, the sum of S 600 . 19 covering the following
contributions, interest ond penalties, which after demand for payme~t thereof remain unpaid, and ihat by virtue
of the above mentioned low the amount of said contributions (taxes), together with penalties, interest, and costs
that may accrue ir~ addition thereto, constitute a lien in favor of STATE of FLORIDA ~EPARTMENT of
LABOR and EMPLOYMENT SECURITY upon the title to and interest, whether legal or equitable, in anr real
properiy, chattels reol, or personal property of said emplorer.
Periods for which contributions, inte~est, and penalties have been assessed, and the amounts thereof, are
as follows:
! QUARTER(S) TAXES ~NTEREST THROUGH
I QTR. YEAR _ ~~~,~~
3 80 587 25 .
i SERVICE FEE
i TOTAL I 58~ 1 2~ ~
PENAlTIES
2 9 4 10 00
2~9~ ~ l0~ 00
WITNESSTHEOFFICIAL SEAL OF THE STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOY-
MENT SECURITY, DIVISION OF EMPLOYMENT SECURITY, at Tallahassee, Florida,
this ~g day of December , A.D. 19 80 -.
51.2904 ' - -
. - = ,r.. _ ,, .
1981 J~N -9 AN :~ 39 se~~. -.
fILEt Rh[ FECORDf'D • . .
St.LIiCIE CGUViY.Ft A
This instrument pre ored b: ROGER POITRAS
P r CLEF.KCIF.CWTCt1LnT ~J '~ ~
ECCf!A!i ~'~ R~; .: •: : ~p -~ -
I Barbara A. Peterson ~
f Deportment oF Labor and Emplorment Securitr
Coldwell Bldg., Tallohassee, Fla. ' ~R346 PAGE 000
800K
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