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Form 668 U. S. TREASURY ~EPARTMENT - INTERN~~ REVEt~uE SER~iCE p~ ~
~ RE~. 8-67~ ii~iitE 0~ FEDERAt TAIt LiEN UNDEit iNiERNAI REi1~NUE IAWS ~~g COUNTY~~1~t;A:
RECORD VERIFIED
DISTRICT SERUL NO.
Jackaomrille~ Florida 181000
Pvrs~onl to ~hs p~avisions of Sect~ons 6321, 6322. ond 6323 of the (nte:r.ol R-~e_ ~ Zq ~ 2: O~
nue Cod~, notic~ is hersbr given thot thare hove M~n ossessed under ttie Inte.nol ~
R~v~nu~ lows of the United Stotes ayainst th~ followin~-nomed toxpoysr, to:es
(incfuding int~rsst ond penolties) which ofter dewond for poyment thereo( re:noin
unpoid, ond thot by virtue oi tha obove-msntion~d stotutes the amount of said toxes. ROGER POITRAS ~
toy~thK wilh penolti~s, interest~ ond costs thot rtwy att?ue in oddition tMreto, is GL.ERK-CIRCUIT COURT~
o litn in iovor of the United Stotes upon oll property ond riphts to proparty belony-
inp to soid taxpoye~.
NAME OF TAXPAYER
THOMA3 F~tY BRUHN, Tonsqys Roof Painting & Septic Tank Co. ~
REStOENCE
3305 Oleander Blvd., Ft. Pierce~ Florida-33450
CLASS OF TAX UNPAID BAIANCE
(Tax Return Form No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(o~ ~b) (c) (d) (e)
9Li1 3-31-69 7-1~-69 59-08701~72 501.41
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PLACE OF FILING C ~ C t.
r $t'~ ~C~ C~~t'y TOTAL S 5O1•Ijl
Fort Pierce~ Flori.da
WITNESS my hand ot 1~Test PAle~ Hesctl, F]roTidB , on this,.
~ the~7~..doy of July ,19 69
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~ SI RE TITLE
~ ~ Qroup 8uperrl.sor
~ a C. G= ~
MOTE: Grtificot~ e( otfic~r eutheris~d 6y la~v to ~ek~ ockr?wl~dpa~nrs is nst ~ss~~~iol to tFN •ol~d~er ef Naic..f F•J.rol Tox Li~n G.CJiA.
• 26~19, C.B. 195d51. 125.) ,
~ _ ~~K178 ~2~49
_ ?ART 1 To M?Noin~d by ncordtn~ offic~
'~;x'te `~"'~,~'''"~.,`.~b~'r°.-a' .t .y.. ' _I _ _ ~ ~ .rr.t+c~'F`.n`.
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