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Form bbe U. 5. TREASURY ~EPARTMENT - ~NiERN~~ aEVEnu[ SErtv~CE Fo. Op,ond Use e~ R«o.d~..q OH~cs
(REV_ 8-67) NOTICE OF fEDERAI TAX LIEN UNDER INTERNAL REYENUE IAWS
DISTRICT sERU~ No. FILEO ANp RECOROED ~
Jacksonville Florida S7'.. LUCIE COUNTy, F~q.
Pursuont to the provisions o( Sections 6321, 6322, ond 6323 of the Internol Reve- '~.r~f~[},~l~'~Rt~l~
nue Code, notice is hereby given tho~ there hove been nssessed under the I~ternol l~
Revenue lows of the United Stotes agoinst the following-named taapaye~, toxes
(including int~rest and penolties) which oftsr d~mond for poyment thereof remoin ~9 O~C • \
unpoid, and thot by virtue of the above-mentionad stctutes the amount o( soid taxes, I ~ So
togeth~r with penolties, inte~est, ond costs thot nay aecrue in addition thsreto, is r,~
o lieo in fovor of the United Stotes upon oll property and riyhts to property belon9- L ~
ing to soid taxpoyer. '~U1~HAS ~
NAME OF TAXPAYER ~IERK CIF~CU17' COURT
CYCI.E & N.•OW~Z C~:~iT~t 0:~ r^ORT PIERCE, I~'C. ~
R ESIDENCE
3800 S. Federal Hwy., Ft. Pierce~ Florida-331~50
CLASS OF TAX • UNPAID BALANCE
iTox Return Form No.) PERIOD ENDED ASSESSMENT OATE IDENTIFYING NUMBER OF ASSESSMENT
(a ) (b ) (c ) (d 1 (e )
941 6-30-69 10-3-69 59-].1.95$37 774.30
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~LACE OF FILING 92' ~ 2'CUl O
St. Lucie County TOTAL S 7?l~.30
" Ft. Pierce~ Fla.
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~ wiTNESS my hand or West Pa7ar~ Beach~ Florida , o~ this,
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~ the~Ldoy of November ,19 69
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~ SIGNATURE TITI.E
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~ - G' Group Supervisor ~
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(N E: C~rti(icot~ of o(fic~r ovthori:~d br fow te to ockna.l~dym~ros is not ~ssantiol to the vol~ditr ef No~ie~ of F~d~rol Tox Li~~ G.CJYI. ~
6119. C.B. 195o-51. 125.) 6~~~ ~
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~ PART 1-To be ntained br rocording office
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