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Fam 668 oE?~r?~nr oF n+e n~wsuer-r~o~,K ~rt~ s~ehcF ~ h R~d~e ~
~e~v i-~o? NO?KE Of F~DQAI TAX L~i INiOfR ~ITERqAI REYENI~ IAWt
D~STRICT SERIAL NUMBER Il0 ER P01T~tR= T
CIERK C~RC1~1 COWI ~
ECORO YERIFIEO~
Punvant ro the oviiwns of Secti«?s 6321, 63Y1, and 6323 of the Internai Reve-
nue Code, notite is hereby given flwt there hovA been ossessed under the Infetnol T(Q Q~ ~~T ~
Rsvenue bws of the United States ogoinst the followiog-nomed toxpoyer. tmcas (includ-
~n8 intercsf ood Renolties) which aher demond for papment thereof remoin unpnid. ond
that br virhie of the obov~mentioned sMtu~a the omow~t of said taxes, logeiher with
penohies, inkKest, ond cosh that may occrue in oddtion thereto, is o lien in favor of ~~pp~~`
the Uni~ed States upoe all p?operf~r and rights to ptopett~? belcx~ging ro wid toxpa~. ~~C7ovv
NAME OF TAXPAYHt
C • a• ~ D~el~r Rielo~ri
kE51~ENCE _
POH 2?2
Fori ll~oli+ds
UNPAID BALANCE
KIND Of TAX TAX PERlOD ENDED ASSESSAAENT DATE IDENTIFYING NUMBER OF /1SSESSMENT
lal I~1 kl ldl tel
10i~0 22-31~69 5-29-TO 263t86-1~15 l~7.2O
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Pv+CE OF HUNG t~r1[, CirCUit Cwir't 46T•20
St~. Lu01~ COtu~~? TOTAI S
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S~C'iNAT ~ . TITLE :
1.
alOML~S C. tRAVfS ~AQP SOPiROI9at
(NOTE: Cr~ew d oA1a? wM~oriud br bw w eaw «knowl~dp~n~r?b a no~ ~ntid ro Nr ~d~dr~r d Plo~ia d f~l~rd Tm tiM G.~.Jrl
~ 26419. C.l. 1950-S1, 12S.j ~
~ART 1-Te 6~ ?MaM~d bp hcordi~p olllc~
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