HomeMy WebLinkAbout0967 _ - - - - ,
Form 66a U. S. TREASURY DEPARTMENT - ~wrERw~~ !tEvEr+cE SE4v~CE I F,, pp~.,;r.cf 'Jse 3r R«_-: C!~ ;e ~
;Rev. e-s~~~ ~iBii~E 0~ ~FDfit~l TA~ ti~li i~iiDEQ iiii~~iil~t RfYEiiUE ti?Wi - ~
DISTRICT sERiA~ No. D AND REGqRDED' ~
ST. L CIE COUNTY, FLA. ~
Jacksonville Florida
Pursuont to the provisions of Sections 6321; 63??, ond b323 of tti~ i.,~e?.+ol Reve. ~ ~pR~ VE4ilFIED
nue Code, notice is herebv g~~en thot there hove been ossessed under the Internal ZpQ~h~ z
Revenw lows of the Uni~ed Stotes agoinst the .lollowing-nomed toxpoye~,1~~f s DOJII
(including interest ond penalties) which ofter demond for poyment thereoF refrMin~A 19 PM 50 '
unpoid, ond thot by virtue of tl~e obove-mentionsd stotut~s the omount ol said toxes,
togeth~r with panolties, interest, ond costs thot nay occrve in addition thereto, is c
o lien in iovor of the United Stotes upon oll property and riqhts to property belonp- ~ E~ r01T A$
f/
9 ro so~a ~ox~y~~. ~ ~ C
I RCUIT COURT;
NAME OFTAXPAYER -
SIDNE3C M. CASSEIl~l.AN~ Master Metal Products
RESIDENCE
3431 so. Indian River Drive~ Ft. Pierce~ Fla.-33450
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C1A55 OF TAX UNPAID BALANCE ~
(Tox Return Form No.) PERIOD ENDE~ ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
~a 1 ~b 1 ~c ) ~d ) ~e )
' 9t~1 6-30-59 8--8-69 75-1164333 1,226.17
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~ PLACE OF FILING C rk, Circuit Court ~
~ $t• LIIC~.@ C0112'lty • TOTAL S l~ZZC).l? #
K Ft. Pierce~ Fla.-33450
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~ WITNESS my hand ot ' West Paln1 BeaCh, FloY'ida ' , o„ ~,~s,
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~ the~dcy of JaAUa19 ,19 TO ~
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SIGNATU TITLE ~
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• 8roup Supervisor
~ T6o~as C. arav~s
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~ MOtE: Grtificat~ oi o(f;c~r outFwri:~d by lo.+ ro rok~ ackno,.l~d9m~ms is not ~ss~ntiol te tFw .o1~d~:r of Na~c. of Fed.ral To: Li~n G.CJiA.
~~s, c.s. ~9sas~. ~u.~ BOOK ~8~ PA6E .
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~ PART 1-To b~ r~bin~d by rocording offic~
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