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Form 668 OEPnt1l~ENT Of iNE RfASURY-1NiEaiM tf~FNUE SERYKE For O~~a+d Ufe 8r Recordng Olrice
~eEV. i io~ NOTKE Of fEDERAI TAX UEN UNDER INTERIUI REYENUE LAWS T. tt~CiE C~W1
TY~
DISTRICT SERIAL NUMBER ROCER pNY~
FLORIDA ~IERK CIqCWT COYRT ~
JAiL50Nt'ILLE, RECORO YEAIf1E0 ~
Pursvanl to the prov~s~ons of $ections 6321, 63?2, and 63?3 of the internal Rev~
nue Code, not~ce ~s herzby g~ven that there have been assessed under the Internol ~ I 3=~ ~~t t
Revenue iaws of the Umted States oga+nst the followingnamed toxpayer, toxes (~~dud-
ing uiterest ond penolhes) which aFter demand for poyment thereof remo~n unpoid. and
thot by v~rtue of the above-mentioned s•atutes the amo~nt of sa~d toxes, together with
penolhes. ~nrerest, ond cosh that moy nccrue in addit~on thereto, ~s n I~en ~n favor of ~13166
the Umted Stotes ~pon ol{ property and nghts to property belong~~g to sa~d taxpayer.
NAME OF TAXPAYER
James McHillan
~icMillans Grocery
RE ~IDENCE .
1801 Avenuc D
i Fort Pierce Florida 33450
UNPAID BALANCE
kIND OF TAX TAX PER10D ENDED ASSESSME?~tT DATE IDENT~FYING NUMBER OF ASSESSMENT
la~ fbl (cl (dl (e)
~ _ 137. 66
E 941 4lithholding 06-30-70 O1 01-71 59-0658314 $
, 941 Withholding 03-3I-70 OI-OI-71 ~ 59-0658314 158.24
941 ~Iichhoiding 12-31-69 01-01-71 59-065a314 190.15
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~ ~'iA.CE OF FIUNG
~ Clerk, Circuit Court
TOTAL S 486.05
~ SL. Lucie County
~ Fort Pierce, Florida
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~ ~1~/ITN'tS$ my hand o~ West PaLn Beach, Florida , on th~s,
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~ ,~e 29th ~y af July , 19 71
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, :+GNATURE ~ ~ ilTlE
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~ G. A. SNARPE ACT~NG GROUP
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~ (NOTE Cert~f~cde o~ ofTKe. ou~ho.,zcd by law ro toke «knoWledgmenK ~s not essennol to ~he vol~d~ty of Nohce of federol Tox t~en G.C.M.
26119, ~ B 1950-51. 125 ? O R
~ PART 1-To b~ rNoentd br r~cordin~ oAic~ 8~K
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