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Fom~ 668 oErN[r~Nr oF n+e t~F~?surtr-~?rERruu afv~ue sE~ Fo? op~ond th. er Reco.dny o~ic.
~r~v i-~o~ NOTi~ OF ~DERAL TAX LlEN UNDER IN?ERNAL REYENtIE LAWS ~1~G~i ' i.
DISTRICT SERIAL NUMBER C~R PO
QlE .K CI=:CUIT' ~ ~
.RECQRO VEfi~F1ED~
Pursuont to the provisions of Sections 6321, 6322, and 6323 of the Internal Rev~ ~
nue Code, notice is hereby given that there have been assessed under the Internai ,~j P~ ~~3
Revenue laws of the United Stotes agoinst the followingnamed taxpayer, taxes (includ- JiT
ing interest and penalties) which aRer demand for payment thereof remain unpoid. and
ifiat by virtue of the above-mentioned stotutes the amount of said taxes, fogether with
penalties, interest, and costs that moy accrue in oddition thereto, is a lien in favor of
the United States upon all property and righh to properfy belonging to wid taxpoyer. 2641~ !
NMAE OF TAXPAYER `
RESIDENCE .
Route 3, Box 510 :
t Pierce Florida 33450
UNPAID B~ALANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDEM'IFlfING NUMBHt OF ASSESSMENT
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~ PM~'.E-nF FlUt+K~
Clerk, Circuit Court TOTAI f 330.0?
~ St. Lucie County
~ Fort Pierce, Florida t
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~ yy~TME~ R,y West Palm Beach~ Flarida , on ~his,
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~ the ~~3~ dar of Senteml~r 19 7~
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~ SIGNATURE ~
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~ G A SHARPE ACTING Qt~ MANAGER '
~ it~o~: Cerr~~ae oF oif~o~ w~+w~Qed br low ro rake «k~,ow~ed9~~ K~?or ess~rid ao ~hs ~ordity of Nalice of F~drd Tox li~ G.C.~A
26419. C.B. 1950-51, 125.)
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