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~~v ~.io! NOTICE QF FEDFRAI TAX t~l UND~ INT~NAt REYElNlE UINS f~tS?D.~M~ kECo
DISTpCT SERIAL Nl11NBER SS~-.I~UCIE C~llMI?Yt111M.
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Pursuont to the pro~risions of Sections 6321, 6322, arx~ 6323 of the Internol Revr
oue Code, notica is herrby given fhat there have bean ossessed under the I~ternal
Reversue tows of the lfnited Stotes against the foflowing-oomed toxpoyer, taxa (includ- ~
ing interest ond penalties) which after demand for payment thereof remoin ur.paid. and
that Sy virtue of the obove-mentioned stotutes the amount of said roxes, together with
penolties, interest, arsd custs Nwt may accrue in oddtion thereto, is o lien in fmror of '
the United Stotes upan oll properfy o~d rights to properlr belonging to said toxpa~.
NAME OF UXPAYER
IiA~TlI dc MJITIB SD'1"1~01~~
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fort Pt~ro~~ ~3orid~+33k54
I~IPAID BAUNCE
ICIND OF UX TI1X PERIOD ENDED /?SSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
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II lAi~O 12-3].~6?7 ~20-7'0 25~1t2-9760 , ~i -
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lobo 12-31t69 11-
}7~0 • 1,298.83
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PL/1CE OF FIUNG C~it C01tY't? -
3t• I~t1018 COtiUit~ TOT/1l S 3~~~~
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WITNESS nqr hond at ~atr.~i~.~YC~ , on thn,
r?+e doy of 1 q 71 -
SIGNATl1RE 'j • TITtE
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(NOTE: C~rt~caw o1 oAk« uu ~s low Io lo1c~ xtnowldpm~r?b n no1 ~~id b Nv vol.~r of iVol~c~ of f~d~rd Tax l~ G.C.l1~
26419, C d. 19S0-S1, 1Z3.) R~~
PART 1-To b~ ntaM~d bp ticMdtno oAk~ ~Q~
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