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FOrm 66S OEPARTMENT OF THE TlEASURY-NTElNAI REVFtJUE SERVKE ^9
~~v i-io) NOTICE OF ~EDERAL TAX Up~l UNDBt ~tNAI REYENIlE UWS IE .C~
D~STRICT SERIAL NUMBER • OCfR Oltf~
JA~CKSONVILLE FLqtIDiA ` ~tfCOR~VfR
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Pursuont to the provisions of Sections 6321, 6322, ond 6323 of the in?ernal Reve- ~ ~ q(~
nue Code, notice is hereby given that there have been osseued under the Internol 311~
Revenue lows of the United States against the following-named roxpayer, taxes (includ- ~ 3p 0 1
ing inFerest and'penalties) which aker demand for payment thereof remain unpad. and
that by virtue of the above-mentioned statutes the amount of said toxes, togethe~ with
penalfies, inleresf, and cosh that may accrue in addition thereto, is o lien in fovor of 2~~Z
the United States upon all property and rights to property belonging to said iaxpayer.
NAME OF TAXPAYER
J e8P r Ma Gv
RESIDENCE
507 North 12th Street
L`..t.~ Df wr.ww t.`~ ~~.i il~ '!']A~A
UNPAID BALANCE
KIPlD OF TAX TAX PERIOD ENDED ASSESSMENT UATE IDENTIFYING NUMBER OF ASSESSMENT
~a) ro) ~c) ~d) ~e)
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~ 1040 Income -12-31-70 02-06-73~ 264 46 6293 $ 158.50
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Clerk, Circuit Caurt TOTAL t 158.50
St. Lucie County
~ Fort Pierce, Florida
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yyiTMESS my ha~d a lflest Palm ach~ Florida _ , on ihis,
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the dop of Av9ust , 19 ?3
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~ SIG ~ ' T1TLE
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~ C• VES GROIR MANAGDt
- (NOTE: Certificde of oRxer outhorized by tow to toke ocknowiedgmenh is nd eskntid to Ihe volidity of Notice of F~sderd Tax ~ien G.CM
K 26419. C.B. 1950-S1, 125.)
~ ~ PART 1-To be rotained by ncordirg oAk~
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