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faw K~ V. S. TREASUl11 DfN1RTAAENT • INTENiAI lEVENUE SEtv~CE Gfi~
' ~~v. Nov. ive~~ NOTICE OF FEDERAL TAX LIEN UND~ INT~NAL REVENUE LAWS
f asrRict ~ s~ Nuw?eER
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~ ~ Pursuant to the provisions of 5ections 6321, b371, ond b323 0# fhe intemof Revenue ~o~ie of 195~i,
{ ~otice is hereby given that there have been assessed under the Internal Revenue laws of the United Stotes
~ against the following•rwmed taxpeyer, taixes linclucing interest and penoltiesl which aker demond for
payment thereof ~emain unpaid, and thct by virtue of the above-mentioned srofutes the omount of wid
: toxes, together with penalties, interest, and eosfs that may accrue in addition thereto, is a lien in favar
of the United Stutes upon ail property and rights to propery belonging to said taxpayer, to wit:
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W1ME Of TIIXPAYER
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RESI d1lSINESS •
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• iYPE Of TAX AN~ PERIOC ASSESSNIqdT DJ1TE R~E~ NO. MIIOtNJf OF
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~ _ 941 titit~holaing 6-63 9-2,3-63 59 ~'l~lb3? : 2?5•56 ~
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F+ort Piel~ce ~ P"lOrida
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f; WITNESS my hand at Yeat PaL Beach. lrlorida ~ , on thTs. f; .
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f Januar~ _ ~ q 64
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astwa a~croR of i~ ~ atr TrttE ~
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~ LAIIRIE Y. TOI~Q.INS0~1 Collection . ~
lNOiE: Grtifia~q of o16aa outtarizwd b~? low to tob acluwwl~d~nw~es b not ~swntial to tM .wlidity of Notia of F~d~pl Tax f~.C.M. 2 1
"'195Q51. 125.) - ~ K ~\J
rART _1 - Te b~ nlain~d b~? nceedin~ offia Q;1;~ v F~AGE V
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