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2012-105A
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2012-105A
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Last modified
12/28/2015 1:52:40 PM
Creation date
10/1/2015 4:31:31 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
06/05/2012
Control Number
2012-105A
Agenda Item Number
12.A.1
Entity Name
Unidentified Manufacturing Company
Subject
Jobs Grant Agreement
Supplemental fields
SmeadsoftID
11280
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Florida Department of Revenue Employer 's Quarterly Report111 UCT-6 <br /> - t rr .1d , � . r t, id,'et ,r a ^ , r r. Jr , e <br /> , : � , r a r h � r, _ <br /> � ri7YrJ � `.i © = Fi <br /> lit ft. , . YFz TA AP F %N ;F, PA[ n,c, ,,,, , <br /> t <br /> i <br /> FJ.✓r — 12b. " <br /> We, <br /> a <br /> ve <br /> led, —. <br /> fen. <br /> " . 12a 7 <br /> i, . : 12b. � . <br /> r <br /> 2b <br /> s' e <br /> ! t2a. , <br /> 12b. . . . . . . . . <br /> acid 1 prderdd ? ?n oriel Teal this parird only 0 . .. . <br /> q ^ c ledthis 2r d ledn UFs tro 1 ad2Iona pddlelaeF, m Line 2I'll on page t , <br /> I ib ?nidllx €s igf 1a .1J L is 1 t I rural t e ;Il <br /> s <br /> tltar d icv.tls hu adddi!onal vagiis ir4 o-1 {1ag? 1 . <br /> DO NOT <br /> DETACH <br /> Mail Reply To: Social security numbers (SSNs are used by 61he Florda DepartilTnt of Revenue as unique <br /> Ur3eniploynzEnt Tax identifiers for the administration of Florida`s taxes. SSNs obtained for tax adlnimstration <br /> Florida Department of Revenue purposes are confidential under sections 213.053 and 119.471 , Florida Statutes, and not <br /> 10511 lV Tennessee St B'dg L subject to disclosure as public records. Collection of your SSN is authorized under state <br /> Tallahassee FL 32399- 0190 and federal law. Visit our Internet site at www.lnyClorida.comldor and select " Pr,vacy <br /> Notice" for more information regarding the state and federal iar+r governing the collection, <br /> use . or release of SSNs, including authorized exceptions . <br /> Tired of paperwork ? We can help ! <br /> File and pay your Florida unen.nloyrnent tax online . <br /> It's fast , easy, acairate , and secure . <br /> ;tenet s . www. myflanda.com/dot <br /> - i3 - <br />
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