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For. ~ U. S. TREASURY DEPARTMENT - INTERNAI REVENUE SE4YICE fa O~.o.~lUse By RKO.r~ON~c•
~ REv. &671 iiOTitE Oi fEDERAI TAX UEii UNDEt iNTfRNAI ~fVENU~ IAwS. ~ '
DISTRICT SERIAL N0. FILEO AND RECORDED
Je?cksonville~ F].aarida ST. LUCiE COUNTY. FLA.
Pwsvont to tF~s p.e+visioes of Sections 6321, 632~. and 6323 0( ~he Inte+nv4 Rsv~• C~R~ V~~'~~~Ff~
nw Cod~, ~otic~ is h~r~br giv~n thot th~r~ hov bten oss~ss~d ~nder tl~e internol .~{~L",
R~venut kws of tbe Unit~d Sto:~s o9oinsf fbe fo~lowing-named toxpoye~, tox~s pu
(inclvdinp int~rest ond psnol~ies) which oft~r dswpnd ior poymant ther~of r~moin 69 a~ S f17 OS
unpoid, ond thot by virtue oi th~ obov~•m~ntion~d stotvtts th~ amount of soid toxes,
toytth~t witb p~nolti~s, inter~st, and costs thot nqy accrw in oddition tMnto, is ,1~~~
o li~n in favw of tM United Stot~s upon oll property and riyhts to prop~rtr btlon9- . t20^.~~ j%~iTR~',~'j
~o :a~a wx~y.~. ~ CLERK CIRCUlT COURT
NAME OF TAXPAYER ~
$A$L CARMIN~ eIR~! B8]C1~8 SBT'V~.CA St+a?t?101Z •
RESIDENCE - - -
5001 3. Federal HWy., Ft. P3.erce~ Florida••33450 _
CLASS OF TAX _ UNPAID BAUNCE
(Tax Return Form No.) PERIOD ENDED ASSESSMENT DATE 1OENTIFYING NUM3ER OF ASSESSMENT
(01 lb) (c1 (d? (e) :
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~ 941 3-31-69 ?-4-69 59-~t63454 ~8•~
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~ PLACE OF FILING ~
St. Luaie County
Fti~ P~BTC@~ Fl.OI'~.~ TOTAI. i~~~
WITNESS my hand m v..~ Pn7~ $aga,h~Flnrir~ , on tl~is,
;ha 28tti ~y o4 Octobe~c ~ lq 69 .
SIG A E . TI LE - - -
~ aro~p Superv~~or ~
thaMS C. tita~r~s _ ;
(NOTE: Gnifitw~ ~f o(liter ~uthoriu~ br Isw to tok~ ~ckt~wrl~d9w~ntt.is,not ~~s~n~iol to tM v~lidi?p of Ndie~ ~t F~M~~1 Y~ Utn G.~JiA. ' !
26119, C.B. 19SPS1. 1~5.) ~~7~~~ i
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~ART 1 To b~ ntoin~d bp ncordin~ offiu
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