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~ STATE OF FIORIDA ~ ~ 5,~~~
~q«FOBM ucT.,a ~ DEPARTIr1EP1T OF LABOR AND'EMPLOYMENT SECURITY~ ~
DIVISION OF EMPLOYMENT SECURITY ;
~ ~ TAILAHASSEE32301 • Account No. 006924A
NOTICE OF' TAX LIEN Lie~ No. i-9303 -
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- Pursuant to the provisions of Secfion 443.141131(a), Florida Stotutes, known os the Florida Unemplorment
Compensation law, notice is herebr given thot there have been assessed, {~ursuant to -the provisions of said low,
against Warrena Laundry-Cleaners --Incorporated -
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131 North~3rd St. ~
Ft. Pi~rce,~FL. 33450 ~
an "emplorer" liable for the parment of cont~ibutions. to the Unemployment Compensation-Fund_of Florida, .
pursuont to the provisions of said low, the sum of S- 2247.86 covering the following
contributions, interest and penalties, which after demond for porment thereof remain unpaid, end thot br virtue
of the alsove mentioned law the amount of said contributions (toxes), toyether with penalties, interesf, and costs -
that may accrue in oddition thereto, constitute a_ lian in fovor of STATE of FLORIDA DEPARTMENT of ~
LABOR and EMPLOYMENT SECURITY upon the title to ond interest, whether legal-or equitoble, in anr real
propertr, chattels real, or personal propertr of soid emplorer.
' Periods for which cont~ibutions, interest, and penolties have been assessed, and the amounts thereof, are
j as follows: ~ ~ _
QUARTER(S) • INTEREST THROUGM
. TAXES PENALTIES !
QTR. YEAR ~
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4 80 ~ 4 16
1 81 ~ 2233 70 - ~ •
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SERVICE FEE 1 O. OO
TOTAL ~ ZZ33 70 4 16
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~ WITNESSTHEOFFICIAL SEAL OF THE STATE OF FLORIDA DEP T OF LI?BOR Ai~ID EMPLOY-
MENT SECURITY, DIVISION OF•EMPLOYMENT SECURITY, at T ,~'orido, 28
' rh~s i3 aar of Na~ , A.D. 19 81 - A~{ i~ 48
~ ~ ~ ~ '~:l ` S~ lE_Q tlif F~CU .GE9
' ROG~R~GtT~FSA
. . . CtENK CIi~::Lt' ~'G::r"~~
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~ This instrunxnt prepa~~d br: - s' .
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Chrietopher Greq ~ ~
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' Department of lobor ond Emplorm~nt Securiry ~ ,
Caldwell Bldq., Tollahassee, F.la. ' . - 600K~ P~ ~Z t
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