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_ _ - - - - _ _ W _r_, - . s f~ ~ U. S. TREASl1RV DEPARTMENT- ~t~TER~u?~ REvEUUEZEkv~CE~ FaO~r:oMlUa~6rR~c«d.yOH~c~ (REV. 8~67) NOTICE OF FEOERAL TAX tipl UNDE~ INTERNAI REYENUE LAwS ~r~0 ANO: R~CORQ C'~ DIS7RICT SERIA~ N0. ST, WCIE COUNTY.~~`~A. e RECORD 1fERiFIEO Pwsuont to th~ provisions of S~ctions 6321, 63?.~r:and 6343 of tM I~ternol R~v~. 1~~2 nw Co~~, notie~ is hsreby yiwn thof there hav~ 6Ke ass~ss~d w~d~r th~ tnt~rnol R~r~nw bws of th~ Unitsd Stot~s oyoinst th~_ ~ollowiny-non~d taxpoyt~, tox~s ~6 OCT I 4. PM L~ 2$ ~ (includln~ int~nst ~nd penolti~s) whicb oft~r d~rend for poynwnt th~r~of r~moin uepoid, aod thot br virtw of th~ obov~-awntiw+~d srotuNa tM amovn~ 01 soid tox~s, ~ ~C~ top~thN with p~rwlti~s, inter~sf, ond costs that aqj? atcrw in additioe tMt~to, is ' o li~n in fovor of tM Unihd Srot~s upon oll prop~aty and riyhts to prop~rqr belon~- F~,~G~~~ rOITP,AS ELERK CIRCUIT COURT; in~ to.soid Mxpoy~r. - NAME OF TAXPAYER Wi111@ Burke RESIDENCE P O Box 320 - Fort Pierce, Fla 3345~ ~ CU1SS OF TAX • UNPA1~ BALAPICE (Tox R~twn Fam No.)_ PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUAABER OF ASSESSMENT ~ (a) lb) (c) idl ~ _ 101}0 12-31-68 5-16-69 264-22~9559 535•75 ; i - , . f ~ ~ ! . ~ _ ~ ~ ; ~ ~ ~ ~ s ~ PLACE OF FILING ~ C~, c~CUI~r COt~tT TOTAL s 535.75 ST LUCIS COUNTY~ FOAT P~T~ FLA WtTNESS my hmd m M~~~ ~8 , on ei~is,. 8 October 69 - ~ the dq of ,19 SIGNATURE TITL ' Chief, Office Group - . ~ M~TE: CKtiflcete ~f effieo~ wthoris~d br lea to t ~ xkno.l~wen~s is net ~~s~n~i~l to tlr roliditr ~f Ndie~ ~f F~r~l T~e Li~n G.Cl~I. 26119, C.6. 19SPSt, 1~5.) PART 1 To b~ rNain~d b~? r~cordin~ offic~ o'~" ~ ~ ~ ~ . _ , = x~