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Form R -j~------
~ErARiMEN' 6F ~~iE iitfl'~.~'~'-WiE(~VAI CEVENjE SFTKF Fqr Optwal Use By Rlcord~ng O~:e
!R~~- ~ NO11iE Of fEDERAI 1AX LlEN UNDER INTERNAL REVENUE LAWS
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.-`iIST: R1CT SERIAL NUMk3ER ~
; /~E0 ~M01~£C ~
; JACtCSONVIL~ _FLOrRIDA----- -I - ~i. ~
~ ~ ~10
E~ MI~~?3
~ Purs~onf to the prc:~s~or,s of Sect~ons 6321, 6322, und 6323 of the Mternal Reve- ~~C~qMj Q~Rt ~
~ nue Code, not:ce :s :~E: ~l:, y given tt:e! !here have bean assessec! ~nder the Intemal r~p~f~pw,..rn~.~r
~ Reverue ~aws of !he U~ Sto'es ogo~nst thc fa~lowing-~amed taxpoyar, toxes (includ-
% ing ~~terest and }~eno~hrs; .~'~~~h ofter der~:cr~ for ~ayment thereof rema~n unx~d. and
that by virtue of Ihe eb.:.e-mentioned stotutes the omoun! of soid 'uzes, !o~ether with
~ pe~~alt;es, interest, ar.d cests thot moy occrue in addit~on thereto, is o lien :n f~vor of
the United S.+otes uF;on a•= proFerfy ar,d rig'r,ts to ~roperty beionging to soid toxpayer_ ~y~ r~~Q
i.t1 ~ 0
~ NAME Or TAXPAYER
~
~
; ramid Cor oration
i~ RESIDENCE
~ 4306 South U S 1
~ Fort Pierce, Florida 33450
UNPAID BALANCE
KIND OF TAX TAX PE(tIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
1a1 1b1 {d) le~ _
~
941 i+~ithholdin~ 06-30-71 09-24-71 59-0899233 $ 15,136.89
~
PLACE OF FILING
= Clerk, Circuit Court TOTAL s 15,136.89
St. I.ucie County
Fort Pierce Florida
- vVITNESS my hond or West PaLn Beach, Florida , on thn,
~ 19th ~y of OCtober ~q 71
SIGNATUR T1TLE
- THOPSAS C. GRAVES GRCUP SUPERVISOR
(NOTE: Certrficate of officer aut?,or~zed by law to toke ocknowiedgmenh ~s no~ essenhol to th~ vo6dity of Nohce of fbderd Tax lien G.CM
- 261~9, C.B. 1950-51, i25_~
eoo~ 1~ P~~E1642
PART 1-To b~ retain~d br roco?dirq oRic~
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