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Wrm bb8 U. S. TREASURY DEPARTMENT - INT@RNA! REVENUE SERVICE
iREV. NOV. 1461~ NOfiiCE O~ FEDERAL TAX tiEN UNDER tNTERNAL REVENUE L4WS
DISTRICT
JACKSONVILI.E, FLORIDIO sERia. M~R.;. I
Pursuant to the provisions of Sections 6321, 6322, and 6323 of the Internal Revenue Cade of 1954,
notice is hereby given that #here have been assessed under the Internal Revenue laws of the United States
against the following-named taxpayer, taxes (inciuding interest and pena(ties) which after demand for ~
payment thereof remain unpaid, and that by virtue of the above-mentioned statutes the amount of said '
taxes, togefher with penalties, interest, ond costs that may accrue in add+tian thereto, is a lien in favor I
of the United 5tates upon al! property and rights to property belonging to said taxpayer, to wit: j
NAME OF 7AXPAYER - ~
H C HO11~8ti0A !
RE5IDENC:E OR PtACE OF BUSINESS ~
1 10 venue Fort erce lorida
TYPE Of TAX AND P~RIOD A$$E65AHENT DATE REFEREtdC@ NQ. ~0~~ ~ I
Idl Ibl kl ~~ENT
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9~+3 196~+ 6-25-65 6-28~+14 ; 41+2.04
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Fo~t ~ierca, Flor3da
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WITNESS my hand af_ West Palm Beach Flarida ''~,`,\y ~.~2~ nn this I
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the~ 8th d~, cf Octaber 19 - ~~~~~s - , ,
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DISTRlC7 DfRECTOR OF IM'ERNAL REV~NUE BY M~ ` -__._r
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F. S. SCI~iIDT Daniel ~Coanell Group Superrisor
(N07E: Csrtificat~ of oHia~r avthorlnsd by bw to taks ocknowledqrrwrrts ia not ~entip! ta t~ votldity of a~ Lt~en Cs.C.MI 26419, C.b.
1950-51. 126.) ~ / ~
PAR7 I- To ~ rofoit~d br nsordin~ ofAc~ ~~f
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