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Form ~S U. S. TREASURY DEPARTMENT - INTERNAL REVENUE SERVICE Fa Oye~orl Use Br Record.eg Ot~ ce
fREV.B-67) NOTICE OF FEDERAL TAX [IEN UNDER INTERNAL REYENUE IAwS .
FILED AND RECORDED
DiSTRICT SERIAL NO. S'. LUCIE COUNTY, FLA.
Jacksonvills c~;-.C,~a~ t'=-RIFIED
Pursuant to Ihe provisions of Sections 6321, 6322, and 6323 of the Internol Reve- `
nue Cod~, notics is hereby given thot thare hove been ossessed under the Internul n
Reve~tie lows of the U~ited Stotes ogoinst the following-nomed taxpoyer, toxes ~~O l~AV ~a7~`~ ~
(including interest and pe~olties) which ofter d~mond for poyment thereof remain rRl
unpoid, and that by vi~tue of the above-mentioned stotut~s the omount of soid taxes,
toyethN with penolties, interest, ond costs that may occ•ue in oddition th~reto, is
a lien in iovor of the United States upon oll property and rights to property belong- T:{)v~= ! Q~~N
~~9 ~o so~d to:Poye~. CLERK CiRCU1T CO RT
NAME OFTAXPAYER
D. 1.1~yd & Mary B• Johneon
RESIDENCE
Rti l. HOZ ~7
Fort Pierce, Florida
CLASS OF TAX UNPAID BALANCE
(Tox Return Form No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
; (o) ~b ) (c ) (d 1 ~e )
~ io4o i2-3~ 5-9-69 5u-o5~?509 #385.4z
PLACE OF FILING C~.9TIC~ C~?C11~t COUI''~. ~Q
st,~ LyC~O CipUllt,j TOTAL S J~+S~~
Fort Fterce~ Fl+orlda
WITNESS my hond ot ~st p~ ~~8 , on this,.
the 1 ~ of ,19~
SIGNAT , TITIE
T'E~L3 C . (i~iAVS3 ` ((~OP 9IIPffi~VT30R
(NOTE: Certificore oI o(Fic~r outhori:~d br (ow /o tok~ acknow~l~dymems ~s ~ot ~ssent~ol to tl,~ .rolid~fy of Notict d F~d~ral To: Li~n G.C.M.
zseiv. c.s. i9so-si. ~zs.~
PART 1 To be retained by recording office d00K ~v~ ~212?
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