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STATE OF FLORI~A ~ ~
LES FORM UCT 18 DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY
tR~V. ~res~ DIVISION OF EMPLOI~MENT SECURITY
TALtAHASSEE, FLORIDA 32301 ~~~21
TE L. 904/488-7621
N~TICE OF TAX LtEN
E rnploYer:
INTRA GUASTAL PRINT ING I NC Account Number ~73a47 A
3~10 ENTERPRI SE RU
FT PIERGE FL 33~5A Lien Number ~'2`~8O
Pursuant to the provisions of Section 443.141(3) (a) and (g) Florida Statutes, knov+m as the {ien provisions of the Florida Unem-
ployment Compensation Law, notice is hereby given that the above named employer is liable for the payment of contributions to the
Unemployment Compensation Fund of Florida. Pursuant to the provisions of said law, the following contributions, interest, penalties,
~ and fees which after demand for payment thereof remain unpaid, and that by virtue of the above mentioned law, the amount of said
~ cont~ibutions (taxes) together with interest, penalties, and other costs that may accrue in addition thereto, constitute a lien in favor
~ of STATE OF FLORIDA DEPARTMENT OF LA60R AND EMPLOYMENT SECURITY upon the title to and interesi, whether legal
~ or equitable, in any real property, chattels real, or personal property of said employer.
f
Periods for which contributions, interest, penalties, and fees have been assessed, and the amounts thereof, are as follows: ~
f "
[
€ n/YR TAXOUE {NTERESTTHROUGH PEDUETY SEFEECE FFEEG
' Ofi/O 1/~s3
~
~
~
~
' 1/ 82 52. ~ 7 3. 94
~ _ 82 2i .~5 .97
'R 1 s 4 1/d3 45~t.00 6.81 t 5.00
{ : 2/83 643.12
( '
; l9~3 ~CT -S 9- 40
I
~ i ~I: EC Nf fr•F•.^r;
~ S~.l C~t GCI~Y''
's ~ t?CGF . ?'(11'~?'ti
€ CIChK IrC~lfTt~~n'~
, ~ . . . ~
~
j 626621
~
:
~
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TOTAL AMOUNTOF'fAX LIEN i+;97•76
WITNESS THE OFFICIAL SEAI. OF THE STATE OF FLORlDA DEPARTMENT OF LASOR AND EMPLOY-
MENT SECURITY, DIVISION OF EMPLOYMENT SECURITY at Tallahassee, Flor+da, this 29TH
day of AUGUST , q.p. ~g 83
~ `,at'°`, ~
; ~v~ AGENCY USE ONLY _
~ ~ REMITNO. CI{.~{13OH DATE IO~3~H~
- AMT. S ZOO . OO NO PAY. Y
' ,;~+~~4i3 PdGE VVV ~ P-M• 5~22~83 OATE F1LEU RZO~~g~ ~
~ ~ ~ REPORTS F.A. ~
This instrument prepared by: ~ ~ ~ '
SNI RLEY LEOPlARO F.O. NO. 7A ~ L. ONLY O. INDEBT.
Department of Labor and Employment Security
Caldnrell Bldg., Tallahassee, Fla. AS down p3yTM~e r`: l,- .
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