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oE~~tr~Nr oF n~ reEws~xr-~rEea~u eEVer,uE 5~ehcE fo. op~o.w~ us. er Rem.d~g otsc.
~s NOTKE Oi FE~BtAI TAX IiEN UNDNt INTERNAI REVENUE LAWS
iR~+- ~a~~' f LEu nt.CuRDEO
DISTRICT ~ SERiAI NUMBER i~.IUC~E ~o~NTY FLA.
Afi~l8tlt,8~ Ge0 RGCi~' ~ ~ TkAS
~8 CIEkK L: .CJ~1 COUI~T~~
qF[~n? Y%kic i[?~,.~.~~.
Pursuont to the provisior.s of Scc•ions 632i, G322, on~ 6323 oE the Int~rnol Reve- ~
nue Code, nolice is herebY give~j :~at thera have been assessed under tne Intc:no! ~
Qevenue lows of the United Stotes agaiint the following-nart?ed taxpoyer, toxes ~u~ 5 2 za PM ~~I
ing iMerest ~nd penalties) which aher demond for payment thereof remai~ unpaid. ond
that by virfue of the above-mentioned statutes the amount of wid tuxes, together with .~p~.
penaBies, interesi, and cosls that may accrue in oddition thereto, is a lien in fwor of ~+C7a1~
the United Stotes upon oll properiy and rights to propart~r be~onging to wid tazpayer.
NAME OF TAXPAYER
Concre~e l~odnlar Systems of Fla, Ina.
RESIDENCE
P.O. Box 975
G G
- UNPAID BALANCE
IUND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
(Ql ro1 kl IdI lel
If 94~- 03
31-?b o5-09-74 58-117L,ti6 ~3,352•31
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- PLACE OF FlLING
Clerk of Superior Caurt TOTAI S~~352.31
~ SL I~ci Courrty
~ ~ - ~ ~e~, ~ ~rida
WITNESS my hond o1 ~•~XY~. Georu~? , on this
the doy of J~.T , 19~_
SIGNATURE TLE ~ R ~~(rt7
C FEL ae~v~e~we Ottiaer a00K PACf
(NOTE: C tif~cc,te f officer outho~aed by low to ~oke ockru~wtedgments ~s nut essent~al to the vahd~ty of Nohce of Fede.ol Tax l~en G.C.M.
~6419, C.6. 195G-51, 125.)
PART 1 To be retained by recording office
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