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FOfin 6GS OENIRTNlENT OF iME TREASU~Y-WiERNAI REVENUE SEMCE FOr Opfi0~W1 Ufe SY ReeOrdng Olfice i
~eEV. ~a7~) - NOTKE OF FEDERAI TAX l~N Uf.DBt INTNtNAI REYENt~ UWS ~ '
DISTRICT ~ SERIAL NUMBER ~'*~~try~~~~
Atl,etYta t
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Punuant to the provisia:~ of Sections 6321, 6322, ond 6323 of the Internal Rev~e- ~~fR~~~O
nue Code, notice is he~eby given thot there hovc been assessed under the Internal
Revenue laws of the United States ogoins? the following-named bxpayer, taxes (includ-
ing interest and perwlties)_whic~ oker demand for poyment thereof remain unpoid. and
Nwt by viriue of the obov~mentio~ed statuta the omount of soid taxes, together with
penokies, interest, o~d ~o~s ~+ot Rwy o«<~ oddr~or~ ~h~ero, is o lien in fwor of ~c cZ
the United Stotes upon all property and ~+ghh to pcopery belonging to soid taxpayer. pv
NAME OF TAXPAYER `
Conorete liodular Systiems o~ Florida, Inc., a corpor8tio~t
RESIDENCE `
P. o. ewc 975 `
Gainesville Geo 1
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
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~ 9b1 12-31-?3 ~3-25?4 5~-11?141a6 13?•La '
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PI.ACE OF FILING
C~.9I'~C Or SUF@1'~OT COL11't. TOTAI S l~•~? ~
St. 7~uaie County
Ft. Pierce Florida
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JVITNESS my hand at ~~s r'~~'a , on this, -
the ~h day of A~t , 19 ?4
T1TLE ,
~ ~ FKL R~ev~e~nue Qft'iaer
: Certificote o o~cer outhorized by low to take ackrw~ledgments is nof essent~of to the ve:id~ty of Notica of Fede~ol Tax Lrcn G.C_M
264 9, C_B. 1950-S1, 125.) ~ R~~ E~~0,
PART 1-Yo be retained by ~ecording office d00K P111, j;
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