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Fon~+ 668 oEn~erw~r oF n+E n~~tur-e+r~w e~r,ue sEe~ For Op~w~ol u,. er e««d~ny
(REV. 1-70) N~TKE O~ ~E~QA~ TAX L~ IRIO~ ~JQNAL ~VE~ uWS ~~~~~Y~
~ [?iSTRlCT SERIAI NUMBER R
a ~'Lors,d. ~ ~'~i `w~tr
Pu~suant ro the provisio~u of Sections 6321, 63?2: and 6323 of the Internol Reve- ~
nus Code. notice is hereby given thot there hova been assessed under the Interno!
Revenue Iwvs of the United States ognir~st the fdlowing-named taxpayer, taxes (includ-
ing inter~st and perwlties) which aher demond for po~nmeM N~ereof remain unpoid. and
thot by vifire of the above-mentioned statutes the onlouM of wid toxes, together with
penaBies, interest, and costs Nwt may acuue in addifion thereto, is a lien in fovor of .
M,e Unifed S;ares upon all properry ond righrs fo properfi? belo~g~ng ro so~d roxpoyer. ~~4L~
NAME OE TAXP/1YER ` ~
I~101[ dc Z1M0 C~~
RESIDENCE
at ~ 5o9C
~or! Pi~a+a~, l~l+oarida
uNPao aA?uwcE -
qND OF TAX TAX PERIOD ENDED ASSESSMEN7 DATE IDENTIFYING NUMBER OF ASSESSMENT
Ial rol kl ldl lel
; ~0 12-33.~68 5-~-~9 ~8-5T85 ~ ~21.~
! 1,0l~0 1Z-3L•69 5-15-70 258-28-5785 94p.LD
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~ PucE oF fiur~c CLssic, Cl~+ouit Conr~ 1,66e1.3b ~
~ a~ ~01. co,~?~ TOTAL s . '
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~ vsnn~ESS ~a t~ist Ya2a B~. l3~rLd~? , o~ ;
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