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FOr11t 66E OEPARTMENt Of iliE TRE/$URY-WtEQ~IAt RfVENUE SERVI[E Fd Ophorql Ufe Ay Recp?dng
! ~RFV. i_iaf NOTKE Of FEDERAI TAl( LIEN UNDER MlTERNAL REVENUE tAWS ~pE~ ~
~ DISTRIC~ SERIAI NUMBER f~~~ tE COtiMfir
a JAC16 0?N I LIE , F LORIDA st' ~ E P~F 0?t C01MT ~4`~
< ~tERK C ~ ~
Pursuont to the prov~sionz of Sections 6321, 6322, and 6323 of the Internoi Reve- ce0ao ~EP~~~fO
~ nue Code, notice is hereby given that there Fwve been assessed under the Interrtol t'r t
> Revenue iows of the United States. agoinst the foilowing-named taxpayer, taxes (includ- ~t ~ ~
~ i i~terest ond enalhes wh~ch aher demond for
^9 P 1 poyment thereof remoin unpaid, ond
~ thot by v~rtue of the above-mentioned statutes the omount of said toxes, together with
penalt~es, ~nterest, nnd costs that moy occrue in addition thereto, is a lien in favor of
the United S~ates upon oll property ond nghts to property belonging fo said taxpayer.
NA,1AE OF TAXPAYER
~harles C Jones
=3 Cal Jones Construction Co
~ RESIDEN~E
Post Office Box 3341 Beach Staticn
~i Vero Beach FZorida 32960
UNPAID BALANCE
~ KIND OF TAX TAX PERIOD ENOEO ASSESSMENT DATE IDENTIFY{NG NUMBER OF ASSESSMENT
~ t~! Ib! l~1 Idl (e1 ~
~
. 941 Withholding 06-30-71 09-03-71 59-1308382 $ 818.76
~
:Y
:4 ,
- PIACE OF FILING
= Clerk, Circuit Court ~
St. Iucie Caunty TOTAL = ~18.76 -
Fort Pierce, Florida
VNITNESS my hond o1 ~le3t Palr~ Beacb, Florida , on ~h~s,
,h~ 4th ~y of October 9 71
~
SIG T1TLE ~ R
u~ ~ do 1
~ 96 ~ 48~
?}~UtiAS C. CRAVES GROUP sUPERYISOH
= (NOTE: Cert~P~cate oF officer ou~horaed by ~uw to toke ockncwlcdymenn ~s not esse~hol to the vol,ddy of Nohce of Federd Ton t~en G.C.M.
° 26419, C B 1950-Si, 125 ~
PART 1-To bt r~tainsd br ncording oAic•
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