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r For~~~ 568 ! :;fFAitTMFNT Qf TNE ntFASUft`I-LN''tICNAI REYENUE ifdV'CF Fw Op~onol l;se !r R«o.dng O~T'Ke
iRFv. ~-~c~ NOiKE Of fEDERAI TAX UEN UNDER iNTERNAI REVENUE lAWS
; DISTRICT SERIAL NUM6ER :~'ILEp~~ R ~
~ Jacksonville~ ?~la.
` ROCf R r01 i~
3 -
Pursua~~ to the prov~sions of $ections 63?1, 632Z, and 6323 of t1~e Internal Reve ~~CjR~MT~T "
~ REWAi IItRlilEO.~,..,..,~,. '
nue Code, not~ce ~s hereby given that Ihere hove ~n assassed under the Internol
Rev:nue iows of the Un~ted Stotes ago~nst fhe folbwing-named taxpayer: taxes ~+nclud-
~ ing inferest o:~d penalties) whi.h ah~r dem~nd fo~ payment thereof rsmain ur.poid. and
~ thaf by virtue of the ubove-mentioned statutes the amount of said toxes, together with
~ peno~t~es, ~nte~est, and cos+s thot may accrue in oddinon thereto, is o l~en ,n favor of
the Jn~t.~d States upon oll property ond ?ights to pruperty belonging to said toxpoyer.
- NAME OF TAXPAYER 21 / (7~•.t
l,'~AUH LUCAS ~ ~ .
~
RESJDENCE ~ ~ - ~
~ 3103 ~ve "Rp, ~ t ~
~ Fort Pierae~ Fla.-33450
;r UNPAID BAUNCE
KIND Of TAX TAX PER~OD ENDE~ ASSESSMENT DATE fDENTIFl(ING hiUMBER OF /?SSESSMENT
(a f tb1 k 1 ld 1 (~l
: ~~1 6-30-71 9-3-T1 59-0905220 ?1i2.81
=S
'
..__2
l.- 3
~ PUCE OF FIUNG Cleric, Circuit Court
St. Lucie County TOTAL ; 71~2.81
Ft. Pierce, Fla.-
.
= w1TNE5S my hond ot Weat Pala Bea~h. F1Qric~ , on rh~s,
-a
= rhe ~y~._ dar ofOct~ber , 19 2l.
: =a
SlGNAT't1RE T1TLE
~ G aroup Supervisor, Acting
~ C. A. Shar e
{NOTE: Cert~ficote of of~cK o~it~o.~.d by iow eo row. «?~ow!O~rt?M~f K f10I essent~al b tM rol~d~y of Not~ce of F~ds~o~ Toa L»n G.C M.
26419, C B. t950-S1, 1Z5.)
~ o R 196 ~~U~
PnrtT t-To b. ~.~ar+.d br ncord+~ oAk• BOOK
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