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STATE OF FLORIDA .~pH 2 7~
LES FORM UCT 18 DEPAR'TMENT OF LABOR AND EMPLOYMENT SECURITY
IREv. siaa~ DMSION OF UNEM~LOYMENT COMPENSATION
• BUREAU OF 114X
T~LLAHASSEE, FLORIDA 32301
TEL ~04/488-7621
NOTICE OF TAX LiEN '749830
b~, Employer:
.ESSIE ill LLEA A~ccount Number 9701346
2131 N 421~D ST
FORT PI ERCE F1 33450 1_ien N~mber 6'~ O 1Z97
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Pursuant to the provisions of Section 443.141(3) (a) arid (g) Florida Statutes, known as the lien provisions of the Fforida Unemployment
Compensation Law, notice is her~eby given that the abov~e named employ~er is liable for the payment of contributions to the Unempbyment
Compensation Fund of Florida. Pursuant to the provisions of said law, the fdlowing contributans, interest, penafties, and fees which after
demand for payment thereof remain unpaid, and that by virtue of the abov~e mentioned law, the amount of said contributions (taxes) together
with inter~est, penatties, and other costs that may accrue in addition thereto, c~nstituie a lien in fav~or of STATE OF FLORIDA DEPARTMENT
OF LABOR AND EMPLOYMENT SECURfTY upon the title to and interest, whether legal or equitable, in arry real property, chattels real.
a personal pr~operty of said empby~er.
i P~eriods for which contributions, interest, penalties, and fees :tiave been assessed, and the amounts thereof, are as folbws:
Q/YR UX DUE NTEREST THROIXiH PENALTY SERVICE FlI.ING
O lI~ 1/86 WE FEE FEE
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s s 3/eS 361.24 3.81
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~ '7498 ~
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~ , '86 MAR 1 A9 :38
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F ~ SL LUCIE ~ l~N'+'f. Ft.
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TOTAL. AM(3UfYT OF TAX UEN 83? ~
1NiTNESS THE C~FFICIAI SEAL OF THE STATE OF F~ORIDA DEPARTMENT OF LABOR AND EMPLOYMENT
~ECURITY, DIVISION OF UNEMPLOYMENT COMPENSATION, at Taltahassee, Florida, this 2TTM
J wINUARY 86
_'ay of , A.D.19 .
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Tni9 instrurnere! ,~repared by: See~ FA NO.
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~ SHI ~ I.E ~l AR D F.O. NO. ~ 2A S 6 L ONLY O. lNOEBT. x
Departrnent of Labor and Ernployment Security
~ Caldwell Bkfg., Taliahassee. Fla- -
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