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PM~ bi~ U. S. TREASURY O~ARTMEM - MlTERw?l REVErxIE SE~rvKE ~ t
~v, rrav. i9ai1 t~TICE OF F~ERAL TAX UEN UNDER INTERNAL RE1/HVUE LAWS~ ~ ~
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Pursuont to the provisions of Sections 6321, 6371, and 6323 of the Intemcl Revenue Code of 1~i54,
notice ia her~given fhot there have been assessed under the Internal Revenue laws of the United Sf~atea
ogainst the fol wing-named t~axpayer, foxes tinclucling interest and penaltiesl which after dQrrwnd for
payment fhereof remain unpoid, and that by virtue of the above-mentioned statutes the amourrt of said ~
taxea, iogether with penailties, interest, and oosts that may aarue in addition fhereto, is a lien in favor
of the United Siotes upon all property and rights to property belonging to said taxpayer, to wits
W1ME Of T/1~A1fQ
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1040 Incase 12-31-62 09-25-64 13~ 24 T012 $ 297.68
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FII.E~ AN~3 lt~~R~ ~ t
` $T. WCIE COUN • F
RECO D VERIFIE
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CL.ERK CIRCUIT COU T ;
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Clsrk, Cir~uit Court
~ Sa1At Lacia Count~ toT~u = 297.68
1?ort pisrc~, Florida
WtTNESS nry h~d at ~I~sC pa~-a~sab, Tlarida ~s,
~ lSth ~Qy o1 June , ~q 66
o~trmcA e+~crort af wtr~ Rev~ue s~r tm~
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p g gC~MID? Tbaaa~ . Gravas Grou Su ervisor
19i~o-at,c~~ of o~r aMFq~lt~ br ~o.? a ab oduww~.apmmla N not .~rr~d a th. volkl~? of trwfa O F~dnd Tmi u«~ ~i.C.AA,,~44~p~ ca
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