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~ STATE 4F FLORIllA ' - - l~'"- -
FDC`FORM UCT - 18 , DEP_ARTMF.NT OF G4MMERCE -
(REV. 7/73~
, DlVIS10N.OF-EMPI.OYMENT SECl1RITY ~ _
. TALLAHASSEE 32304 a~~o~,~,~ No. 2 32214
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-~~~3~~~ ~ NOTICE OF ~TAX I~EN L'~" N~. 5-~99 3
>JEOPA.R.DY
~ Pursuanc to the provisions of Section Q~3.15 (3) Florida Stawces, known as the Florida Un-
employmenc Compensacion law, notice is hereby given that there have been assesseJ, pursuant to. the -
provisions af said laa, againsc John RoTlaltl RaqeY' ~
t/a R and R Cabinets - 148 Rio Mar ~
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. - ~ Port S~. Lucie,_FZorida 33452 ~ ~
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an "employer" liable for the payrue~t of contributions to' the Unemploymenc ~Compensation rund of ;
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~ Florida, pursuant to the provisions of said law, the sum ef $ 292 • 63 ~ covering the following
rontributions, .interest ancl penalties, which after demand for _payment chereof remain unplid, and _
that by virtue of the ~above mentioned law che amounc of said contributions (taxes), t~gecher n i~h
~ penalties, interest, and coscs that may accrue in addition thereco, consticute a lien ~in favor of State oi
Florida Deparimeni of Commerreupon the title to. and interest, whether.legal or equitab(e, in any real
proPerry, chattels real, or personal Froperty of said employer.:
Periads for ~ which contributions, interest, and penalties have been assesse.l, and the amounts - .
- thereof, are as follows: - ~ - ~
IHTEREST THROUGH -
- PERIOD CONTRiBUT10N5 - PgNRLTiES -
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lst Quarter. 1973 30 00 ~ - ~ 3 60: fit~o at~i~ ~:ECCROEO -
_ 2nd Quarter 1973 30 00 ~ 3 15 ST.tUCt~ GOUt1Yr FI.A.-- Cl `
_ 3rd Quarter 1973 30 QO - 2 70 aoct+~.f~?~T~~s - :
- c~~~x ~E. .u~t cauar ? ~ ~
4th Quarter ~973 30 00 2.2g~ r,c~r, v~ :~F~~~ _
~ lst Quarter 1974-. 30 00 ~ 1 80 i
- 2nd Quarter I9'7~ 50 00 - - 2 25 AY Z3 40 ~H 7- ~
3rd Quarter I974 50 QO 1 50 ~ ~
4th Quarter 19?4 25 00 38 "
- TOTAL - = - -
_ WtTNESS THE OFFICIAL SEAL OF..TtIE STATE OF FLORIDA DEPAR'~MENT OF COi1riERCE ~ ,
- and the hand oi the Direcior c?f the Yliviaion of Emplo}°ment Security thereof,- at 'Y'allafisssee, FloridA,
~ L}tt3~diy Of Maz - ~ l~: Q. 19 7~j . - '
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~ . - - ~ STATE OF FLORIDA - -
- ~j. ~?~~L~:ijc~sa~~ . _ - ~ - - ' ~ ~ DEPARTMENT OF CON~EHCE ~ -
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