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- , - - _ - - - - _ . _ _ . . U. S~ TREASl1R'Y DEPARTMENT - INTEYNAL REVlMlE SERVICE far Qv~+~ IM b R~eMfW OlI1e~ ~~~v. ~.~es~ NOTN~ ~ FEDERAL TAX UEN UNDER 1 REYENUE LAWS R~LED AND RECORDEO d~ Jacltsoan?ill+~ I~~ ST.RECORD VERIFIEO~~ qxsvoM to tF» provlsions of S~r.tions' 6321. 6322. and 6323 of ths Intsrnol itsw~ws Cad~, ,L~~~~s notio~ b h~r~by phnn that tMrs haw besn ats~s~d unda th~ In~en+ol Rw~nw laws of t!» ~u S UniTd S~ofK opoEnst th~ iwawiny-oom~d toxpaysr, fax~s Iindudinp intet~st and penolfiesl whkh T ~ L~ v 8~r~ aft~r dMnand for paymw+t thsnsof renwin vnpaid. ond Nwt by virtvs of 1M obars-msntia~! ' d~ atotutes th~ amount of seid tazes, foyethK w(th pe~alti~s, iM~rsst, ond oosts thot moy aarus in odditbn th~»to. b a 1'ron in favor of the Unitd Simn vpa~ all p~q»rty ~d riphts to propKty ~U~[~ ~ i'OITR~S ~.i«g~ b~w b~+r~?• CLERK CIRCUIT COURT - NAME OF TIIXPAYER B• ZA~ RBIDB~ICE OR Pl/1~CE ~F M)SII~SS ' - P. 0• Bez ~6 _ l~ort Pi~ F~cida 33~ CU~SS OF T/1X W~AiD dAlJ1NCE Qax Rs1um Fonn No.) PBt10D B~1D~ ASSESSMH~If DJ17E IOBJlIFYINCa NUMBER OF ASSBSMENf Ic! tb1 _ ' ld Idl l.1 9~, q,. ' ; 9y1 3••31t66 7-]~66 59-A3~~ 89.7k , i I i t E ; - ~ ~ ~ ~ _ ~ PLAfF Of f1UNfi ri1+9Tt> L'~Z"O~tr Ci00Z'~r 2~3~~ Str~ Ci01~~ TOTAI. = J ~OZ`tr ~TC~~ n+0l~~ ~ WITNESS my har~ ~ i~ist Pi1s B~i~1ts ~ , . on this, the 23sa of Ma=eb 19 67 . • asrrocr a~aort oF iHre~ ~ra~~ T~ Oro~p ~sriiaor l. J. 0~ J~t. ?ba~a C: WOTia Q~ARoo~ of ofNo.r oulho.m.a br low w ~alo. aduwwl.dp~«u. M eor «.~Nial to d» wl~~r ef ~~{r~ Tm~~~ sa4iq, c.r. ~9sas~, aooK1d PACE " ~ART t Te b~ nldn~d b~r ncor~n~ ~ffta ~ ~ . _ti ~ _ . . - - ~ - ~ . ~4s