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~ - : _ ~ , . . _ , . . _ . . _ - G' : ^ - . STATE OF FLORIDA ~ ~ ~ ' FDC FORM UCT • 18 ~~;t~aRTMEI~T O~'' C~NN~RC~ - IREV. 7/73} . f _ ~ ° i~IVtS10N OF~E~VtPL.0Y;1fE~VT SF.GURITY - . - ~~`7~"~S ~ TALLANASSEE 32304 _ account No. 218257 . f - t.ien No. 5-3420 . NOTICE OF TAX LIEN - - . Pursuanc to che provisions of Secci~n 4~~3.15 (3) Flcirid~i Statutes, knocvn as the Florida Un- ~ employ~ment Compensation laa~, naticc is hereby given that therc ha~~e been assesse~l, pursuant to the - . _ - ~ - provisions of said law, aga'inst Johri W1111aTCl HS11 ~ 1211 Soltman Avenue . ~ Fort Pierce, FZorida 33450 = an "empluyer"- liable f~r the pciyment of. cuntribution~ tu~ thc l;nrmplo}~me~~c Compensation Fund of - ~ I~lori~ia, pursu~int co the provisions uf said I.i~~•, thc sum of S~~zS ~ 08 - co~•c-ring ~hc folloc~•ing ~ _ contributions, interest and penalties, ~hich <~fcc, ~Icmand. ior pa}~mc.r.; thcrr~i crmain unpaid, and ~ that by . virtue of the abo~~e mcntioncd la«' thc _ amount of said contributiorts (t~~xes), cogether ~c•ith ; penalties, interest, and costs~that may acc~ue in addition thc:eto, ~nnstitutr z lien in la~~or of State ot ~ Floriua Uepariment of (:ommerceupon thc title tu and inte,cst, ~~•hcchcr lc~al or eyu'scable, in an}• real - property, chac;eis rea1, or personal ~r«pcrty of sai~l employcr. ~ . ~ Fer:ods for n•hich concributions, ir.t~cresc, an~l penalti~s ha~•c brrn ~is~r,sc~j, and thc• amounts ~ = thercof. are as follows;_ . - ~ . . - ~ ~ _ - ~ 3 - - - I~1TER[ST THROUGli # PERIOD CONTRIBUTIONS - F'ENALTIES " . . _ ~ _ 3rd Quarter 1973 _ 27 18 -2 ;1 ~ 4th Quarter 1973 35 ~0 2 5-1 . - ~ 1st.Quarter 1974 46 07 2 53 _ ~ 2nd Quarter 1974_ 8 35 - 33 _ ~ - _ - . ~ ~ ~ - - _ ~ ~ ~ _ ~ ~ , ~ - ` _ _ ~ : ~ _ $ TOTAI 117 ~O 7 V ~ i: . ~ . ~ . . . _ . . - _ . . ~ - ~ " . ~ ~ WITNESS THE OFFIC~AL SEAL OF THE STATE OF FLORIDA DEPARTMEyT O~ COi1MERCE s ana the l~and ot ihe Directc?r. of il~e Division of Employment Securety ihereof, at 'd'allahassee, Ffosida, _ ; ihis._1$..__d~?y of-~~..L ; A. D. 19 75 - . ~ - - . - ~ ~ . FiIED Ah~~ RECVRDEA . STATE O~' ~LORIDA ~ ~ - uf 1 ~ ~ - ~ ~ttlh~r~r~-t' _ S~.t~C4E GJUNTY FLA- ~ ~~s ~ - " ROC~a ?o~ta~?s ~ DF.PARTMENT OF CO~INERCE . : ~ ' ` . CIERK C1:~CU1T COUfIT ~ ~ _ . ' ~ ~ ~ ~ . - . ~ . - '~"'a~_- _ •'~~~~.~F _ Rf~~RO YrR1ElE0 ~ _ } . F' . ~ ` ~ sT " - • SJ ~ 7an K . - ' . _ - _ _ . • _ ~ i~~~~ t~ n~.p~~d br-• MA~ 9 4~ AH'T5 - ~ : ',F%~~:'~ a~,s ;.•,s~ ~r' _ _ , 3 f~ - tower ' 3 erce ~ 3~~~'~5 o~RECTOR, oiv~s~oN oF '~R~jr! ~ jjil'~allahas.ec, ~la. - EO ~orMENr sECUa~rr ' .,,~,,s:. - - aao~ ~~~$7 . . . _ ~ i i