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Fom, 668 oEnu~nwEr~rr oF n+E ntwwrr-srtEw~u~? e~rruE s~e~ntE Fo. oia~And u. y boordinp oAGo.
(REV. 1•70~ IraTI(~ af ~RAL TAX L~1 IINOER aITERI~IAL ~Y~NIE IAwS •
amncT s~ NwNSEe ~o
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Pursuont to the provisions of Sections 6321, 63Z't, and 6323 of the Intarnol Itev~s- C~~
~ue Code, notite is hereby given Nwt tF~e hov~ bsen asseued under the Inbrnal . ~
R~venu~ Icws of the Unit~d S~ctes against the fdlowii~g-nomed t~axpayer. taxes (includ- -
inp intKast ond pe~wlties) which ofter demond for paq?er~eM thereof remain unpoid. ond
thot by vifi~ of the above-meotioned statutes Ihe aanount of said toxes, together with
penoAi~s, interest. and coals thot moy «crue in addtioe thereto, is o lien io fovor of
fhs UniMd Sta~es upon all propery and rights b properl~? belonging to said taxpa~rer. .
NMAE OF TAXPAYBt
l~l~O'~' O~3a~ ~ 1!'
Rf510E1VCE
1~MQ! /w~lL ~!b af~+~~t
lors Pl~sw F1+~i~s
UNPAlD BALMKE ~
KIND OF TAX TAX PERlOD ENDED ASSESSMENT DATE IDENTIFYING NIIMBBt OF ASSESSMENT
(al ro1 kl ld1 Nl ~ .
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f1~1 3-33r68 3~9~To 59~050~ ~7T.~
'j 91~1 b-~0•~ 1~-~-TO S9~~It050b~ 3+~•3~
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~ PUCE OF FlLING C~l~led.t 0~4='~r ~~j~~
~ S~ IA~'3+~ , TOTAI =
lrrt tl~aw, l7~s~+is ~
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wrTNESS nq? hand ot w~L hL Dl~. ~l1,~a ~
the ~T dop of ~'~~a , 19 ~
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SIGNL1TUtE 11TLE - t
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(NOT~ C~ttilkaN d o1Bow aiM~orit~d b~r low b t~ok~ odcnowbdpm~nb is nd w~Nid w Nw volidtp of Nwia d F~dad Tmc LiM G.CJYI
46119, C.~. 14S0-Sl, 145.) ~ 4
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