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Fone 66d U. S. TREASURY DEPARTMENT - ~NTeaw~~ ReveNUE seRV~cE Fo. orr~o..t u~e er aKa.d~ a* « ~j
fREV.8-67) NOTICE OF FEDERAI TAX IiEN UNDER INTERNAL REYENUE LAwS
DISTRICT SERIAL NO. RECOR~~~~ .
Jacksomrille j Florida F~L D AND
UC~E COUNTY. ~LA.
Pu.suont to th~ provisions of Sec~ions 6321, 6322, and 6323 of the Internoi Rev~ VERIF~ED
nw Cod~, notice is hereby given tFwt there hove b~en ossessed under tt~e Internol ~~-G~Ri~
R~v~nw bws of the United Stotes ogoinst the following-named toxpoyer, toxss ~$8501 -
(includiny int~r~st and penolties) which ofter d~awnd for poyment thereof remoin ~ 50
unpoid, ond that by virtvs of the ebove-mentio~ed stotutes th~ omount of said tax~~~ ~ N 19 PM
togeth~r with penoltiss, intsrest, ond costs thot moy occrus in oddition thereto, ~s
o ii~n ir: :avor o( t!?e United States upon oll p~operty ond ?igl~ts to property belon9-
iny to said taxpcyer. ~(~1j[t-~. ~ ,TRAS
NAME OF TAXPAYER ~ RK C~RCU17 COURT:
DiAVID E. & MARY E. HART3FIEIa
REStOENCE
343~t Carlyle Street~ Ft. Pierce~ Florida.•331t50
CLASS OF TAX UNPAID BALANCE ~
(Tax Return Form No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT z
(o ) ~b) ~c ) ~d ) ~e) .
i 1o4QA 12-31-68 5-.23.~69 261-62-.83b9 2~.68
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~ PLACE OF FILING C]~~~ C3.T'CLt~'t COL1Tt
Sti• L11C3,8 COilIlt,y TOTAL S Z6H~6S ~
~ Ft. Pieroe, Fla. ~
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~ WITNESS my hond at West Palm Beach~ Florida ~ , on tl,;s,.
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~ the 1~ dg? of Jari~az'Y ,19 .
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~ SIGNATURE ~ TITLE
Group Slipervi.sor
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T6~as C. Oranru
~ (NOTE: C~.tifieoH of offic•r eurhori:•d br la.. ro tok• ocknm.l•dyT•~s is not ~ss~nt~o! ~o tFw volidiry of Ndic~ of F~dero) To:' Li~n G.CJrI.
~ 26119, C.B. 195d51. 125.) ~ R q !~w,~
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~ d00K ~r PACE i~i!'e,7
PART 1-To b~ r~tain~d br rocording office -
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