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~aEV i-~o~ NOTKE Of FEO~AL TAX LBI IINOER Ni~NAI REYEMI~ tAMIS ~ ~Mo
asr~ncr SptU1l NUMBER . ~
J~C~ONVIL~ Ft~2DA C
RC~1~~t
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Punuant ro the provisions of Sections 6321, 632~, aod 6323 of the Internol Rev~e- ~
nve Code, notice is hereby give~ that ti~e havd .bee~ assesscd under the IMernal ~~,1
R~venue laws of the United States against the fdbwing-~amed taxpoyer, taxes (includ- .
ing interat and penolties) which aher demand for parmaot thereof remoin unpaid. and
that bY viNue of the abov~mentioned stotutes the amount of said iaxes, together with
perwkies, interest, and cosls that may acuve +n addition thereb, is a lie~ in favor of
the Un~ted States upon all property and rights to prop~.~l~? belonging ro said roxpaya.
NAME OF TAXPAYER
Osnnis O b~ose M Bucicl '
RESIDENCE
i9oa ar•~s o
Fort risrc~ ~lorida 33450 ~
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qND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSAAEM
(al !~1 kl td1 (e1
1044 Inco~e 12-31•70 OS-21-71 266 74 7958 . ~ 784.51
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~ cisrk,circnic court roTi~?t s 7s4.s1
" St. Lucis Coant~
~ lort Msres llorida
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~E~ ,~,y ~ ~ Nut !aL D~acb. ~losida ~ , a? th~s,
~M 20th dop of ~ril , 19 7Z
SIGNIIT ~ ~
clvc~?vas a~o~r suts~arTSO~
(NOTE: C~fiAeat~ of oAiar w~l~oriwd bp low w eak~ «knowldpn~nls a ed w~n~ial b tlr volidyr d No~ia of Frdud Tmc li~n G.CJrI
~6419, C.d. 1950-51, 125.)
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