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Forn~ 66a U. S. TREASURY ~EPARTMENT - inrEar+~~ rtEVENUE SErtviCE Fw Op~onel Use 8~ Recwd~nq Oll+ce
fRE~.B-6~1 NOTICE Of FEI1ERAl TAX UEN UNDER INTERNAL REYENUE IArMS "
DISTRICT SERIAI NCf. • FILED AND RECORCEO ~
JACESOIiOII.IB Si. LUCtE COU~JTY, F~~.
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Pursuont to the provisions of Sectio~s 6321, 6322, and 6323 of the Internol Reve-
nue Cods, notice is he~eby given thot there hove Men ossesssd under the Internal ~~~~,L/ '
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Rsve~w laws of the United Stotes ogoinst the following-nomed toxpoyer, toxes ~ .
(including interest ond penolties) which ofter demond (w poyment thereof remoin "r ' O
unpoid, ond thot by virtue of the obove-me~tioned stotutes the omount of said toxes, 1~~~''rO ~
topeth~r with penolties, interest, ond costs that may accrue in addition thereto, ~s '1
o lien in iovor of the United Stotes upon ali property and rights to P.o~.ry be~o~y- ~•:t~ -t: F~~t7~TRA4
~~9 ro:a~d ro:~ye.. Ct_£~i{ Cl~R!:L'T COURT
NAME OF 7AXPAYER ~j~ B~C ~ DIA~ND
RESIDENCE P Q H~R /~O2
F'r PIBBCS Pi. 3349~
CLASS OF TAX UNPAID BALANCE
(Tnz Return Form No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
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I l,ot~0 L~-31 06-27-69 265-03-0613 2,388.1?
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PLACE OF FIUNG Ci,TCyit C,pyl'~,
St. ~.LiC~e ~i0ull~.~ TOTAL S it~3~B.17
EY P'C. Pierc~, Florida
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~ WITNESS my hond at , on this,.
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~ the 11th day of Dec~bsr ,19 6~
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SIGNATURE TITLE ~
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~ (NOTE: C~+~ificor~ of oflic~r ou aw to toke ocknowbdy~n~nts is not ~ss~mGol to tM vol~d~rr of No~ic• d F.d..al Te: Lien G.C.M.
r; 26119, C.B. 195051, 125.) ~oOK~h~ ~
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PART 1-To b~ retain~d br recording offic~
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