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y i«w Nt U. S. TlEASURY DEMRTMENT - 1NTEalAI tEYEMJE SEtVICE
(REV. NOV. 1961) NOTICE OF FEDERAL TAX LIEN UNDER INTERNAL REVENUE U4WS
OISTRICT SERIAL NUM9ER
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Pursuant to the p~ovisions of sections o321, d3~2, and ~23 ofi ihe iniernai Reve~ue Code ofi 14~~,
notice is hereby given thct the~e have been assessed under the Internal Revenue lows of the United States ~
against the following-named taxpayer, taxes lincludng interest and penaltiesl which after demand fo~
, payment thereof ~emain unpaid, and that by virtue of the above•mentioned statutes the amount of said
toxes, togethe~ with penalties, interest, and msts fhat may accrue in addition thereto, is ct lien in fovor ;
of the United States upon all properfy ond rights to property belonging to said taxpayer, to wit:
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NAME OF TAXPAYER
' RR t ver Tne i
RESIOENCE OR Pl/1CE OF 6USINESS `
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TYPE OF TAX ANO PERIOD /1SSESSNIENT DATE REffRENCE NO. AMOl1Ni OF ~
lo) (b) k) /1SSESSMENT ~
, (d~ t
941 ulithhoiding 3-63 11-u-63 59-4939551 $ 3?9.25 ~
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941 Withtiolding 6-63 11-4~-63 59-~939551 3~+4•5~+
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• ""~c~~;"~~~t c~t
~ st. I.ucie County roT~ s ?23•~9
, Fort Pierce~ Florida
~ WITNESS my hand at Yest Pelm Beach~ Florida , on thTs,
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' the 1 hday of Januaz9 19 64
~ DISTRICT DIRKTOR OF IMERlVAL REVENUE BY (Sipnot~rn~ TITLE ~
~ ypIIRIE y. TOMLINSpN . -Collectioa Manager
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; (NOTE; Certificots oE oificer avthorised by low to rolu «kiw~wledpimots Is no~ eswntiol to th~ wlidty of Notia of Fyder~ ~uc Li~n rC.M. 26419, G0.
: t9so-s~. ~ss.l 'ART 1- To be r~tained bp r~cerding offiu f~ ~x~•f2t=~
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