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Fet~ 66S U. S. TREASURV ~EPARTNENT • INTERNAL REVENUE SER ~iCE Fa anwd Use 8s R~cad.w~ Wl~cs
iREv. &67) iiOtitE Oi ffDERAt TAX LIEN UNDfR iiiT~RNAI ~EYENUE lAw3 j~~p
AND K~COROdO~
DISTRICT SERIAL NO. . LUCIE CO NTY. ~LA.
Jackeonville, Florida ~ RE C~RD V~RIFIED
Po.svont to th~ p?avisions of Sections 6321, 632Z. ond 6323 of the i~terna! Reve• 1~~~
nw Cod~, notic~ is Mrsby g~ven tiwt there hovs M~n ossessed und~r the Inte.nol'~~ O~~ ~
R~~•nw ~ows of th~ Unit~d Stot~s ayoinst the followiny-nomed toxpoyer, tox~s ~ ~ ~ I~
(ineludt~y int~r~st ond ps~olties) which ofter d~wwnd ior poyme~t th~reo( ~ernoin ~
unpoid,,ond that by virtw of the ebove-mentioned stotut~s th~ amovnt of soid toxes, ~G
to~tbtr with penolti~s, inter~st, oad costs tlwt eney accrw in oddition th~r~to, is `~£[K ~d~TRA$
a litn in favor of the United Stot~s upon~ol) p?op~rtr ond riyhts to prop~rtr b*lon9• ERK CIRCUIT COURT~
inp to soid toxpoys~.
NAME OF TAXPAYER
AI~CHIE dc NA111~fA BROWN
RESIDENCE .
2603 Avenue Fort Piercei Florida - 33450 - '
f
CLASS OF TAX . UNPAIp BALIINCE
(Tox Rtturo Form No.) PERIOD ENDED ASSESSMENT DATE I~ENTIFYING NUMBER OF ASSESSMENT
(o ) (b) (c ) (d l
Lo4o i2-3i-68 5~30-69 266..16-6~ta65 555•85 ~
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I
PLACE OF RI~ING C~.9I'iC~ Crjl"Ctl~.ti CO11Tt.
~ st. connty TOTAL s 555.85
Ft. Pierce, Fla.-
,
MIITNESS my hand cit ~Tsat Ps]~u Besoh. F7+OY'3d8 , on this,.
+he 26th ~y of Septe~aber ,19 69
SIGNATU - TITLE . ~ . -
' dI~OU~ 81ijIA1'Y~801'
?~wsS ~w~a
d'10TE: C~rtificot~ d e((ie~r «:theris~d br lew to tak~ xla?rwl~dqw~nts is net ~~s~ntiol te N» volidity ~f Netiu ef F~Jt~ol ?ox t,i+n G.C.M.
Tb1~9, C.B. 195P51. 1~5.)
BOOK 180 ~~~E 635 ~ -
PA~T 1 To b~ rNain~d br r~conlin~ offite
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