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Fe~s ~ba U. S. TREASURY DEPARTMENT - INTERNAI REVENUE SERVICE Fa 0?N~on~l Uu 8~ Reco.d~eq Ol+ :e
(REV. 8-67) NOTICE OF FEDERAL TAX llpl UNDER INTERtlAI REYENUE LAwS
DISTRICT SERIAL NO.
Jacksonville FIL~~ AND RECOROEO
Pursuont to th~ p~ovisions of S~ctions 6321, 6322, and 6323 of tM Int~rnol Rev~- T• IUCIE COUNTY. FLA. ~
nw Cod~, notice is hsr~by given thot th~re hove bten oss~ssed under ths Int~rnal ~C ',~~r V~R~F~~Q
R~v~nw (ows of the United Stotes c9o~nst the Eollowiny-named toxpoyer, tox~s ~
(includin9 interest ond penolti~s) which oFtsr d~mo~d fo~ poyment th~reof remoin
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unpaid. ond thot by vi~tus of the obov~-mtntion~d statut~s tfi~ amount of said toz~s, ~4J 2 Z ~ q 0
to9~ther w~th p~nalties, inter~st, ond costs thot mor accrw in oddition tMr~to, is
o(itn in fova o( tM Unit~d Srotes upon oll property and riphrs to prop~rty b~lo~y-
ie~9 to soid toxporer. F(QCER i~O~RAS
NAME OF TAXPAYER LERK CIRCUfT COURT ~
FRANK ~OOD ~
GI.OKASTER SIGN ;
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RESIDENCE
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CLASS OF TAX UNPAID BALANCE
{Tox R~turn Fwm No_1 PERIOD ENDED ASSESSMENT UATE IDENTiFYING NUMBER OF ASSESSMENT
(o ) ~b ) (c ) (d ) ~e )
941 12/31/68 2/28/69 59-1105298 7~1.18
j 91~0 12/31/68 3/'7/69 99-1105296 460.80
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~ C~TYj GYTCII~t COL1I't TOTAL S
= SL. Iucie Couat~ L?l~1.98 '
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