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Ferm 668 U. S. TREASURY DEPARTMENT - v+~ERn~L af~EHUE SERiiCE fy Oi~•a~ol Use er R«. ~~.e
+REv. 8-67; MOTitE ~0~ ffDE~AI TAX li~ii tiNDFR iNTERi~J?i REYEMUE tA~li~ - - - -
DISTRICT seRiA~ No. F~LED AND RECORDED
Jaaksonville Florida ST• LUCIE COUNTY. FI,A.
Pursuant fo the p~ovisions of Scctions 6321, 632?, ond 6323 of ths I~~e~~+ol Re~e. ~~~ORD ~f[R~~~~p
nw Cod~, notice is her~by give~ that there hove been ossessed under the Internol ~81~~
R~venu~e lows oF the United States agoinst the following-~amed taxpcyer~ toxes +sg ~U~ 24 P ~
(incl~di~p int~rest ond penalties) which after demond for poyment thereof re~rwin ~
unpoid~ and thot by virtw o( the obovs-mention~d stotutes th~ amo~nt o( soid toxes,
topeth~r wi1F~ penulties, int~rest, ond tosts thot nwy ottrue in oddition fhereto, is
o li~n in favw of the United States upon oll property ond riyhts to property belonp- f20~EiZ ~QIjR/~$
~n9 ro so~d roxPoy~~. CLERK CIRCUIT COURT
NAME OF TAXPAYER
Ti~i'$I+~S A. L'~ ~ Ci~'~ ~Llt.O RB~~S s6I'P~CA
RESIDENCE
2511 Okeechabee Road~ Fort Pierce~ Florida - 33li50 -
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CIASS OF TAX UNPAID BALANCE
(Tax Return Fwm No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(a ) lb) (c ) (d 1 (e )
941 12..31-68 ~ lv-4~69 59-0976T83 390.77
9b1 3-31-69 ?-4-69 59-0976783 634.01
- PLACE OF FILING ~
$ti~ LLiC~A COUIIt.,y~ TOTAL ~iLOZ~~78
Ft. Pierce ~ Fla.
WITNESS my hcnd w iieat Palm Beach~ Floi~ida , on this,
the~_doy of JuI,Y ~ ,19 69
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~ SI A E ~ TITLE
~ ~ ooai C. (irav!• ~ ~P ~Per~?isor
(NOTE: CKtifiea» o( effit~t w~thaiud by lar to tok~ xknewbdyn~nrs ia net ~is~ntiol te tlr .ol~ditr of Natlc~ o( F~MeI Teuc Lien G.C~1.
E 14~19. C.B. 195P51. 125.) ~
PART 1 To M htaln~d by ncerdin~ ofHu ~~K "
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