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Fonn d68 oErur~rrr aF n+E n~wwe+r-a+~~ e~v~vue ~ Fo. ojr~w+d va er eeco?d~n~ o1Fos
~~r. ~.~o~ NOTi~ Of ~EDQAL TAX tBl YIIO~ NiERMAt REYEIIIIE tAMIS
p1STRlCT SHnAI NUMBER .
Pursuont ro the pravisions of Sections 6321, 632Z, and 6323 of the Internol Rev~ ~ u~~
nue Cod~. nolice is herebp given tlwt tt~ere Iw~ bsse assesssd under the IM~ernd
Ip~?aM~e taws of th~ UirAed ~ ogair?st the followinp-iwmed ?axpayer, toxas (inclu~ -
ep inMr~sst ond penahias) which aRer demond for porneN tl~eof remoin unpoid. aod
il~d h'f? virtue. of the abave-mentaned stdutes Ihe asw~M+t of soid 1axa, !ogedier with .
p~noNiss, interast, and oo~s thot nwp acuve in oddAion theieM, a a(ien in fwor of
u~.a sa~ ~i ~a ~ b b 201313
N~ o~ v~xA?~et `
• l~S00 Q ~Ll. Z~.i ~
RESIDH~KE _ ~
lail s~. tii~'ai ~4~, ~ t
~t tl+~aee~ !~'l+ir.~,331~50 •
= ut~~ro ent~?r~ce
qND OF LU( UX PERIOU ENDED /1SSESSMENT DATE IDEMTIFY{NG NUMBER OF ASS~MENT ,
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' 9l~i 6.j0~•T0 9~5~7'~ 99~1~~00~9
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~ ~ ~ TOTAL s
~'t,. ~L1'M~ l~i~'1da
vVIArESS ~r liond at ~itls L~_ - , on Mus. ~
~hs~~ ~ . 19~ ~
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~1oTE: C~oa..f ~c. wMio.e.d bp low a ar. «kwo~wl.dpa~«~ a ~a «~ial a Nn ~d~d~r vf Naia of hd~rd Tai t;.e G.C.IrI .
26t11. CJ. 1~50-S1, 125.) 4
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