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form 668 DEYARTMENT OF THE TRE/15UQY-WTERNAL PfVENUE SERYiCE For Opforwl Ufe ey Fecord~ng ORoe .
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DISTRICT SERIAL NUMBER f~~~+ ~ ~ ~ ` ~~~R~Ei ;
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JACKSONVILLE Roc~ = = sTRas ;
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Pursuant to ti~e provisions of $ectio~s 6321, 6322, and 6323 of the Internal iteve- RF~r:~ ~rs ~:c`~~ `
nue Code, notrce is hereby given that there have beer? assessed under the Internal ~
Revenue lows oi the United Stotes against ~he folbwing~amed taxparer. taxes (includ- ~ g i ~ 1? 3
ing interest ond penalties) which oRer demand for payment thereof remain unpoid. and
that by virive of the obove-mentioned statutes the amount of wid taxes, together with
penalti~, interest, ond costs tFwt may accrue i~ addition thereto, is a lien in fovor of
the United States upon all propery and rights to property belonging to soid toxpayer. 7pn~~~
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NAME OF TAXPAYER
Florida Jobbers t'~hse Inc.
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RE~IDENCE
1310 Delaware Ave.
Ft. Pierce~ Fla 33450
UNPAID BALANCE '
- KIND OF TAX TAX PERIOD EI~DED DATE OF ASSESSMENT IDENTIFYING NUMSER OF ASSESSMENT
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` 941 03-31-?4 06-10-74 59-121662? 51~913.11 ~
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~ PLACE OF FILING ~
~ ST. LUCIE OOUNTY TOTAL S 1•°13.11
K FORT PIERCE, FlARIDA
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~ Vlest Palm Beach, Fla. , o„
WITNESS my hond at
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~ ~e 5th ~y of August 19 74
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SIGNATURE nnE . '
- Thomas C. Graves Group ~ianager ~
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(NOTE: Certifiwre of offica autharized by low to toke acknowledgments is not esseMid to the volidiy of Notice of Federd Tmc Lien G.C.M ~
26419, C.B. i950-51, 125.~
PART 1-To be retoined by retording office ~~'1~~~
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