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bag I l1. 5. TREASURY DEPARTMEhfT _ INTERhIAI REVENUE SFPViCE f« Ovrlonal U~~ Sr R~cadiny CHfrc•
iRE~-. ~-os1 ~ NOTICE l7F fEDERAL T~X LIEN UNDER iNTERNAI REVENUE LAWS - -
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DISTRICT ~ I SERIAL NUMBER ~~L ~~N+.Di ~~j~(]~?/(~(~ DEO
t)~^}:SOI1VI~~.P~ !'17?'1C~~ IA1 ~{.~~i e~KV~CiQOK
F~rsvant to the provisions of Sect;ons 6321, f322, and 6323 of tF~e In+e~r.~' Pe~er,ue Code, ~/,-y~/--~-
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not!:e i; Fereby given th~; 'h.e~e have been azsesseJ under the ;nterna' Reven,.~~ 'a•ris of~~
Ur. rc~~ S!a'es e;;ainst the foi•.:.ving-r.c:med ?axeayer, toxes (indud'rg 'nteres' ar.~i r:~~nr:ir es~ w ~ j~ PM Z'
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riemand tor paymenr rhereef rern,!n unc~id, and Tha~ by v~rtu< c; rF•: r.~:.e~r.,enticned
_~~..i~.~ the Cmovnt of 5^.•. t.r,te>, tcye:her v.'r+~ pcr~~!ties, interes~c, ond .oa•> 'r,~' may occrue ~
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; tiun thereto, is a I:er ~ f::v_r cf !i c•'Jn'•ed S'a'es ~;r~n:,!1 r-ce~'~ ..i r~ •s te E;repq'~7UCi ~.:J. C~e~K
nc ~ing tc sdd taxpayer. S rJ U ly i Y~
- - _ FLOP,IDA
t<Ah1E OF TAXPAYER I
~'~~rles r. 'li?~t,et!~ . . _~:~~~re
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- - - -
E=: ^«:C~ OR PLliCE OF BUSiN~:>5
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atiss oF ra,x I I ur~~F.~~ aA~.tv.cF
~Ta~ P.etum Form No.~ PER.ICD ~NC.D I ~;SSESSMEPiT Di,TE IDENTIFYING NUI~',6ER I O"r ASScS5MEN7
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FtA.CE UF F!LItvG ^].c:''~~ '~?.T^"1' ~~!';.7Z'f I
=.t;• '?~le ~~'~'.'T1t~,' TOTAL ( S ~1~~7~.~`~
~ r'~ erce, ~'1-~. I
WITNESS my honc~ ot `''es~~~?ea~ ~'1 nrj„~^ _ , on this,
tne ~th day of ?T~~~p^r~c~r , 19~-
G15TRICT DIRECTOR OF IhfTEFMAI RFVENUE g ( g ~ T~A~ting
Schmidt e .'Cona I 3roup S~z~~ervisor
(NOTE: Certificate of officer a~thorized by low to tak~ acknowledgments ia no~ essentiul tn tho validity of Not~ce of Fedo~al Tax L~en G.C.AA._ ~
26-i14, GB. 195C-51, 125.) ~ R
PART i--To be retained b~r recording of~ice BOOK 131 ~