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HomeMy WebLinkAbout2191 U. S. TREASURY DfPARTME~R . IMERNAL REVB~IE SERVICE lyr GM~?wl 1~ f/ R~oadiw~ Oflk~ t~~v..-~as? NOTICE OF fEDE~AAI TAX UEN UN~R INTERNAL REYENUE LAWS = F~~o ~NO RE-4 ~q~~~ ; Ja~~~~, ~ ST. ~UCtE COU(1T~`~I.A. ' pwworM to ths provtsions of Sections 6321, 6322, and 6323 of ths Inlemol Revenue C,ode aECORD vERlE~~O ~ ~ epMos Is hK~by 91v~n that M~ers have been asseued under the Intemol Reverwe lows of ths ~ • UnFted Sro1~a agoinst th~ foliowing-nomed taxpoyer. laxss pnduding interat and penolties) whkh ! • ~ ~ ~ .~,a~~ „~~d, a~ e,, ~ a~.~~ APR i • 29 ~ qatvfa ths anount of said taxcs, logethsr with peralties, iMsrwT, and oosts thot may amus in oddif{on ttxnro, Is a Ilen in favor of the Unirod 5lotes upon all propsrty and rights to propsrty . i bdoap~np w so~d ta~oye.. ROGER ~OITRAS ' CLERK CiRCUtj COUR? ~ NAME aF TN(PAY6t BQI.AIm dc $'P~iBL CiOIS+IIiS # a~oe~ ae ~ oF eus~r~s _ 1208 lT~rth 22ad Strest, 1~'ort Pi~e, Fls•-33450 . ~ aass oF T~x UNPAID BAIANCE (T~ Rs~+m Fo~m No.) PERIOD R~oED IlS~SMe~r o~l?TE IoENTIFYIPIG NuMBER OF I?55e55MBd~ la1 (bl ld (dl l•1 ~ ~ . ' 10~0 12•33rb3 LD-ll~-66 417~22-21~ 203.81 ~ I 1~40 12-31.~64 Lo-7-6b h~T-22•21t1~4 21+5•05 ; ~ 3~oh0 12•31~b5 9~-],G-66 1a17-22-Z1tl~4 h6S.lb # , , f { i : ~ ~ oF Auwt; CLrlc~ -Cis~~it Court Str~ L1~C~ COUD~ TOTAL : 917~OZ ~ ~r~ ~AI'CA~ ~ s . ~ ~ ~ WITNESS my hand 1~kst pa11t BeaCh~ ~l+or'ida ' , on this, ~ . { ~ ~ tha u~ day of j~l ,19 6~ ~ ; ~ DISTRK.T qR8Ci0R OF IMHWAL REVBrUE notun~ T~ l.Jt O~Domsll~ ~r• ~ ~-v ~ ~gP ~P~O! Thowas C. Grav~s ~IOQ6 CwMffom~ of oiffo~? o~lw~ised by law b tolt~ odtewwl~dpmNri b nof ~wntial a th~ volidity of Notia of f~d~rd To: Li~n G.CM. ~ati9, c.e, t9sasi. ~ss.l ~ R 16 r~~rr ~ To b~ nldn~d b~? ncordin~ offi~. BOOK 5 PAGE Z~, - - - - - - _ _ _ _ ~ - w~~.~;~ ~ti ~ ~ .e ~1~=