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(REV. MAR. 1961)
DISTRICT
U. S. TREASURY DEPARiMEhIT -INTERNAL REVENUE S~R`/ICE
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NOTICE OF FEDERAL TAX LIEN UNDER INTERNAL RE~/EIVt~JEW~V~I~~UN . Y, ' - '•,•
NO.
_~ ,.c,kao..~~311e ''
Pursuant to the;tSrt~visions of Sections 621, 6322, and 6323 of the Internal Ravenna Code of 1954,
notice is hereby given that there have been assessed under the Internal Revenue laws of the United States
against the followir~-~rTTq-~-;~d tpxppygr, tabces (including interest and penalties) which after demond for
payment thereof remain ur.p~id, and (hat by virtue of the above-mentioned statutos the amount of said
taxes, together witi)q pstlolti>°~. interes: ~iln~ costs that may accrue in addition thereto, is a lien in favor
of the United Stgt~t~'~lpon aII p'rb(~e~'i~ cr?d rights to property belonging to said taxpayer, to wff:
NAME OF TAXPAYER
R~.*~:ond A11on Go~.rer __ _.
RESIDENCE OR PLACE OF BUSINESS
NATURE OF TAX ~ ACCOUNT NC. YEAR OR TAXABLE ASSESSMENT DATE
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PERIOD I '~~~ G
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TOTAL
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Cler:{, ~ircui; Court
S t . Luc i c+ Co ~:.:. t ;tr , _
fit. Pierce, Floriaa
WITNESS my hand rt _-_Weat_Pa1~B~~r.~F'.lcxid.e _-___ ____ ___, on this,
the ~4 th _- ._-day of - -- --4r-~c~e.~ ---, 1'~~i2__
DISTRICT DIRECTOR Of !NTERNAL REY€t1UE CY (s ncfuce) /T TITLE
Lnurie ~. `^ocllinaon I, '(,(.~/ji ~, t'~-~-~~~. Col'_e~}icn ;•'.er.~eez•
(NOTED Certificate o) oflticsr authori:M f;y low To take ocknov~ledgm~ntt is not etsenticl to the ve!idi~y of Notics of Faderol lax lien. G.C.M. 26419
C.B. 190-1, 125.)
PART ~ ~ T® be retainael by reeArding af~se