HomeMy WebLinkAbout0990 STATE OF FLORIDA
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._,,,,,a DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY
_ , . ~IVISION OF UNEMPLOYMENT COMPENSATION
BUREAU OF TAX
TALLAHASSEE, FLORIDA 32301
TE L. 904/488-7621
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NOTICE OF TAX LtEN
;:-,~,~~r:
P1ivE I5LAhU GF.i.;CERY INC AccountNumber tct4c~
uRAh~,c AYENJE CX7Etv5tul~
k7 d 60X 5"L.s LienNumber y__4lt7
F CkT PI tRC,c FL :.:~450 ~
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~ur;uant to the provisions of Sect~on 443.141(3) (a) and (y) Florida Statutes, known as the lien provisions of the Fiorida Unem-
~,loyment Compensat~on Law. ~iotice is hereby give~i that the above named employer is I~able for the payment of contributions to the
Unemployment Compensation Fund of Ftorida. Pursuant io the provisions of said law, the following contributions, interest, penal:ies,
anci fees ovhick~ after demand for payment thereof remain unpai~i, and that by virtue of the above mentioned law, the amount of said
-ontributions (taxesi iogether with intPrest, penaities, and other costs that may accrue in addition thereto, constitute a lien in favor
~~f STATE OF FLOt~IDA DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY upon the title to and interest, whether legal '
;:r equi*.ai~le, in any real property, chatiels ~~:al, or personal property of said employer.
Periocis for ~vhich con.ribut+cns, ~r.terest, pen,~ltie;, and fees have been assessed, and tne amounts thereof, are as follows:
Q(VR I TAX DUE ~ INTEREST THROUGH PENALTY SERVICE FILING ~
~ OUE FEE FEE
~ 11/O1/ti4
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~ -
:J84 A~ 4~.Q0 i .68 ' 1 ~.0~1
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~ ; ! '84 t~OV a 6 1:11
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€ ; ( FIL~:; . ~
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- TOTAL Ah10UNT OF TAX ~IEN ~
, ,Y4~YITNESS THE OFFICIAL SEAL OF THE STATE OF FLORlDA DEPARTMENT OF LA80R AND EMPLOYMENT
i
;:_=CURITY, DIViSlON OF UNEMPLOYMENT COMPENSATION, at Tallahassee, Florida, Lhis i~l
ot nc~v~~~Ek , A.D. 19 t,4 ,
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§ ~ AGENCY USE ONLY
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~ ~ REMIT PdO. DATE li 1
~ np i i~ ~ V~ ti.
~ n~!~i~ p~GC .y r y_ - AMT. S NO PAY_
~ ' 1~~`~ ~ P.hS. DATE FILED 11 1
~ REPORTS F.A. D3V1S
_ i h~s insirument prepared by: ~ ~g ~
~ SHIFLEY LtUNAkG
,e~, F.O.NO. ~'~A L.ONLY ~ O.INDEBT.
; ~epartment of ~abor and Employment Secur~ty
~ ~aldwell Bldg., Tallahassee, Fla.
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