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STATE OF F~ORIDA
~~
DEPARTMENT OF LAB~R ANQ EMPLOYMENT SECURITY
DIVISION OF EMPLOYMENT SECURITY rJ2 r-~-7
TALLAHASSEE 32301 q~:,:,,,,,,~ ti„_ 295723
~NOTiCE OF TAX LIEN ~~"~° ~"'' ~~$--
J E O P A R D Y
Pursuant to the provisions of Section443.141(3)(a), Florido Stotutes, known as the Florida Unemployrnent
Compensation low, notice is hereby given tho- there hove been assessed, pursuant to the provisions of said low,
aga~nst William Datz Carlton-, Jr _ Datzs Country Store_ ________
Rt 3, Box 451-B
Ft. Pierce, Fla 33450
an "employer" lioble for the porment of contributions to the Unemplorment Compensation Fu~d of Fiorido,
pursuant to the provisions of said low, the sum of S 85.50 covering the following
contributio~s, inte~est and penolties, which after demand for payment thereof remoin unpoid, ond thot br virtue
of the obove mentioned low the amount of soid contributions (toxes), together with penalties, interest, and costs
that moy accrue in oddition thereto, constitute o lien in favor of STATE of FLORIDA DEPARTMENT of
LABOR and EMPLOYMENT SECURITY upon the title to and i~terest, whether legal or equitable, in uny reol
property, chattels real, or personal property of said employer.
Periods for which contributions, interest, and penolties hove been assessed, and the omounts thereof, are
as follows: ~
O~ARTERIS) --
T
1~1TEREIT TMROUGH -- ----- -- - ----- --
~ CTR. YEAR AXES
-Z8~H1 PENALTIES
,
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~
~ 3 80 25 00 50 25 00
{ 4
. 80 25
!I 00 10 00
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' 1
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SERVICE FEE (
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TOTAI 50 00 50 ` 35 00
WITNESSTHEOFFICIAL SEAL OF THE STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOY-
MENT SECURITY, DIVISION OF EMPLOYMENT SECURITY, at Tallaho e, Florida, ~~ ,
rhis 18 dar of March A.D. 19 81 -~ ~ 5~~.;"~
._
~ ~~' ;~~ 1981 APt? - I PN I~ 03
• ':'% #~~ ~ ~~~r[~ akr ~: CG'r~~ r,
,,' , ~_. • , . SLt.UCIf CCU4IY.ilt..
;j'.ra• • • RCGER f'OIiFtAS
` j ~,~ ~1 ' ~ CLtRK CIpCUIT C~UFio
This i~strument prepared br: '~ '.s~+~~, ~'•~~'. ,~ r ; ~ ~(
Sharon Ogborn ~~+
:: ~ - ~.
Department of Lobor and Emplorment Securitr '':'?~- ~ -•'' •
Coldwell Bldg., Tallahassee, Fla. ' ~ ~ ~'~~~ ~~
B~( P~6E h,