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- _ ~ } F~u~ ~a U. S. TREASiJRY OEPARTIAEl1T - INiERNAL REVENUE SERVKE Fo qp~~sd 8~ R«ai.y GN+c~ iREV. &67) NOTItE OF FEDERAt TAX LIEN UNDER IMTERNAL REYENUE LAwS DISTRICT ~ SERIAL NO. FILED AND RECORDED J~~w sT. LUC~E ~~UNSY, F~n. ~ ::{.(`^i..r•. \•;-h}Ff~~1 Pursuont to th~ povisions of Ssctioes 63Y1, 6322, o~d 6323 01 the Int~rnol Rev~- ~~0~ nw Cod~, notic~ is Mrebr 9iv~o thot th~rf Iwvs ~~n ossessed under tht Int~rno) R~v~nw bws oi tM Unit~d Stot~s ayoinst the following-nam~d toxpay~~, tox~s ~7 /fep ~ 2. Pt~! 2•'~ (includiny int~~est ond psnaffies) whic6 ott~r d~wonA 1a poyment thenof remoin ~ ~ unpoid, ond rhot br virtw of th~ obov~•~neotioned s~otuHs tM aenount of soid toxes, ~ ~ to9ttl~K with p~nolties, int~r~st~ ond costs tlwt ~wy occrus in additio~ th~r~to, is e li~n in iovw of the United Stot~s vpon all prop~rty and riphts to p~opsr~y belonp- ~<C?' r O:TF?::S ~ in9 to said Mxpoy~r. CL~Rii ClRi J~T COURT ~ - i NAME OF TAXPAYER Bl~IETT dt IaII.IaIAIi ~O~I~'$ i ~ - t DCS~~FTtCE- i _ _ - - - ~ _ - SQ6 It~rth 2bti? St~.~ lrort Pissbei Floridr•33l~0 ; ~ CLASS OF TAX UNPAID BALANCE ~ (Tax R~turn Form No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT (o) (by (c) (d) (~I ~ ~ ' 1+0~0 12.•3Ir.63 11?-7-69 2~ly.07-6706 3~55.30 ~ i ~ 1~oi~p 12••31.d1a 11~-T•b9 251~7-b?ab 5~684•C~4 } ~ 1~0 12-31~•65 1L~7•69 2~.07•67~6 282.19 ' I ~ ~ ~ ~ ~ f I _ - - - - - _ _ _ _ - - - - _ ~ ~ ~ ~ ~ i ~F ~ $ ~ PLACE OF FIUNGC~+Cl'k~ C~TOL1~t. C013Z't f - ~~tT TOTAL S 9~~~5~ ~ ~ Fti~ ~i• • • ~ _ ~ i ~ ~ ~ ~ WITNESS my hand at 1~rt ta~a B~a~h. t1+o~ida , on this,. ' ~ ~ ~ a : ~ ~e ~ ~ of ~ ~ 19 ?p ' ~ A ~s SIGNATURE ~j ' TITLE . ~ L` ~ 8~rviaor ~ c. ~ (NOTE: C~rrificon d of(ic~r o„~ho.is~d br la.r to toke acknew~~dyaNnrs is nsf ~ss~Mio) to rM •ofiditp of No~i~~ oF F~d~al Taa (,ien G.CJiI. x ZbI19, C.B. 195~51. 125.) 8~~~ ~ PART 1-To b~ ntain~d br r~cording offic~ ~ . _ ~ ~ . ~ . , : _ . ; . F ~ °~-~~.?Y ~ . . _ F_ . .~v.