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Form 668 DEi~RTMENi Of iF~ TRpASUlY-q.rTElMA! lfvENVE SfRV~:E fo+ Opl~ono! Use Ay Record~ng ON'r:e
; t~v. ~-~ol NOTKE Of fFDElGi TAX UEN UNDER WTERNAI REIIENUE UWS
s D~STpCT SERIAL NUMBER ST OCER POISRAS
? Jacksonnille Florida CLERK C~RCUtT COURT ~
~ - RECOR~ YE~IFlEO~
fi Pursuant to the provis~ons of Sections 6321, 632?, and 6323 of ~he lntcrt?Q! Reve- ~t 7 I~ 46 AM 1
; nue Code, notice is hereby gwen that there have been ouessed under the IMe~nol
~ Revenue lows of the Umted $totes ogoinSt the foliowing•nomed toxpoyer, toxes (includ-
~ ~ng interest and penolties) wh:ch aher demond for poyme~t thereof remain unpoid, and
~ thot by virtve of the above-mentioned ssatutes the amount of said toxes, together with ~s~~
~ penolties, intcrest, ond cos!s thot moy accrue in oddition thereto, is o lien in favor of
the United States upon oll property and rights !o p;~,
~.~,a:;,,~ging to said toxpoyer.
t; NAME OF TAXPAYER W.W. ~yIS AND JOHN DAVIS
r
;A RESIDENCE 221~ C~Srgia Ave.~
~ Fort Pierce, Florida.-331?50
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UNPAID BAtANCE
KIND OF TAX T/VC PERIOD ENDED ASSESSMENT DATE IDENtTlfYlNG NUMBER OF ASSESSMENT
I~~ Ibl 1~? ldl lel
= 943 I2-31-67 3-26-?1 59-10~t3334 922.06
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_ PUCE OF FILING Clerk, Circuit Court
_ 3t. Lu~cie County TOj,u s 922.06
Ft. Pierce~ lrla.
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WiTNESS my Fwnd at i~ieat PAL Beach, tlorida , on ~his,
" Hx dor of Oc toDsr 9
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; SIGNATURE ~ : ~Ttf
- - (~l`Ollp $t~1T1~!
~ Thcmas C. Graves
: (NOTf: ~~rt~ficate of off~cK arthwaed by tmM ?o ~dce ocic~awtecigm~nh ~s no~ essentio! tM vol,ddr of Nona of F~dud Taa LMn G.C.M.
~ ?6419, C.B. 1950-51, 125.)
PART 1--To b~ ntain~d br ncordirq olRc~