HomeMy WebLinkAbout0924 i'
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~ STATE OF FLORIDA '749~26 ~i
LES FORM UCT 18 DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY ~
(REV. 9/84) DIVISION OF UNEMP~OYMENT COMPENSATION F'Ee e~+ ~
BUREAU OF TAX
TALLAMAS.SEE, RORIDA 32301
TEL 904/4$8-7621
NOTICE OF TAX LIEN
Employ~er:
" K~Wd~TH A ~U?2H~W ~ CqRL Account Number p,~4207
MAMiLTUN
THt :;Tt=P UP l~en Number 6-02T9?
14t~1 AVt U
GbG3 tsQGICEk :~T
FT P icKCt t=L 334b0
Pursuant to the provisions of Section 443.141(3) (a) and (g) Florida Statutes, known as the iien provisio~ of the Florida Unemployment
Compensation L-aw. not~ce is hereby given that the abov~e named employer is liable for the payment of contributions to the Unempbyment
Compensation Fund of Fiorida. Pursuant to the provisions of said law, the fdlowing contribtrtions, interest, penalties, and fees which after
demand tor payment thereof remain unpaid, and that by virtue of the above mentioned law, the amourtt of said contributions (ta~s) together
with intenes~, penalties, and other costs that may accrue in addition thereto, constitute a lien in favor d STATE OF FLORIDA DEPARTMENT
OF LABOR AND EMPLOYMENT SECURITY upon the title to and interest, whether legal or equitable, in any real property, chattels real,
or Pe~sonal ProPerty oi said employer.
Periods tor which contributions, interest, penafties, and fees have been assessed, and the amounts thereof, are as folbws:
~ Q/YR L1X DUE UtTEREST THROU(3H PENALTY SERIACE FlUNG
~ DUE FEE FEE
02/a l/86
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/ti c~ A 91.6 t 1.37 15 . UC
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~ '7498 '
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~ ~ '86 MRR 10 A :34
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` I FILED AhC `;i=0 •
; kOGEF~ F~i ~ F• ..E RK
ST. LUCIE COUN' . F~.
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TOTAL AMOUNT OF TAX UEtv IU 7~99 j
WITNESS THE OFFIClAL SEAL OF THE STATE O~ FLORIDA DEPARTM~NT OF LABOR AND EMPLOYMENT ~
~~FC~JRiTY, DIVIStON OF UNEMPLOYMENT COMPENSATION, at Taflahassee, Florida, this ~
rtbRVARY 8~ ~
~~y of , A.D.19 _
d `~~°O`~ ~'c~
~ I~~ A(3ENCY USE ONLY
: c k C~ . ~ `r) ~ ~Mrr No. on~ 3/ 5/
~ uUK ~tIEJ PAvL ~1~/I.~ _ - ~ AMT.
h"O PAY. ~
~ ~ ~ PAA. DATEFlLEO 3/5/ '~F~~ ;
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, ~~rs FA. Bzr andi ,
This irtstrument prepared by. Sed FA NO. j
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~ ~i-f I?t L.E Y LF CMVA tt V j
F.O. NO. 2 2 A 5 6 L ONLY O. tNDEBT. ~
Oepartrnent of labor and Ertployment Security
- Caldwell 8kig.. Talfahassee, Fla.
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