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Fonn 668 oEr~er~Nr oF n+e n~?wer-r~ite+K s~ev~ Fo? qv++ond 1be h~~a ~
~.~o, NOTI~ 0~ fEOE~AI TAX ua~ w~oe~ NreR~ ~ uws ~ c~~~~Y
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Rt~O vtlint`D ~
Pursuant ro the provisioos of Sschions 6321, 6322, and 6~23 of ths t~ternal Reva
nus Code, ~w~ice is hereby given Mwt there ha~ bse~~ ossessed undar ths Internd ~~9 'O
Ra,renue lows of the Ueited States agoi~st ths Folb~wing-~on+ed tozpaper, tmcet ~intlud- .
~ne imwest and psnalties) which aher ckmand for poy~M tF~ereof ramoin unpoid. ond _
Hwt by virtue of the obove-mentiaied sroeutes the anouot of wid toxes, togdher with
pawhia, intetest, and costs thot moy accrue ~ addtion therab, is o lien in fw~or of ~~8
the Ueiled States upon all properly and rigAis to properl~r belonging to said toxpa~.
NAME OF UXPiAYER '
Caa W Bro~rn Contsactor
RE~ICE
2110 Avsuns Q ~
Fost Hares. 1?lorida 33450 ~
UNP/1~ BAL/WCE
KMD OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBHt OF ~SSESSAAENT
(ol t~i -t~l ldl Nl
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' 941 Nithholding 04•30-70 12-11-70 59-0732505 $ 1,906.OZ ~
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PLACE Of HUPlCs
Clsrk. Circuit Court ' TOTAt i 1,406.0~
8t. Luci• County
Tost lissc~ Tlosida ~
yy~$s ~ Ya~ ~iL B~ach; ~ler~._ , oe 1hit,
~ Z7th of Jaauar~ , 19 ~1
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rnart~a c. oau? a~ovt s
(NOTE: C~kroU ei olRcu wMwr~d bp law a~ak~ «kiwwl~donwr~ a not «Na1ia1 b Mr ralid'i~r ' G.CJrI
46419, C.~. 1~50-S1, 145.~
?ART 1-Ti b~ hti»~ na~iie/ ~c~
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