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oE~er~rn oF n~ nEwwer-r+rEau~ ~r+uE sEev~ wr op;a~d u,. or R~oo~~ ~ i
(~~a~) NOTKE Of ~DERAL TAX l~N UNDER NiT~NAI ~VENUE IAWS ~
- - SERIAL NUMQER ~
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~isTtttC~ . JACKSONVILLE ~t~e+~ :z~ 4liMf
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Pursuant to the provisions of Sections 6321, 632?, a~d 6323 of the Interr?al R~eve- ;
n"~ie Code, ratice is heceby given ihat-tF~e hove been cssessed under tha Internal ~
Revenue lows of the United States agairut the following-~wmed taxpaYer, taxes (includ- 'p C ;
ing iMerest and penalties~ which after demond for payment thereof remain unpoid. and ~Gr~7a~~4 ~
thot by vifire of the cbove-mentioned statutes the amount of soid taxes. bgether w+th
peoakies, interat, ond cosis thot may accrue in oddition thereb, is a lien in favor of
the United States upon all properly and righh to ptoperhr belongin9 to soid io~Op'er.
NAME OF TAXPAYER
KQ.EY Itr~.
P~'?It~1 CEN[~R _
RfSIDENCE
17.23 DelaNSrt Ave. -
Ft. Pierce,FL ~2
IA~PIU~ eAtJ~PKE
pNp pF TqX TAX PER~OD ENDED DATE OF ~SESSMcNT N~~ ~ ~~M ;
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~-~a ob-2a~~a . ~9-ia3o~ i,~.gr ~
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941 06-30-74 09-23-74 59-1430306 1~616.26 ~
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PLACE OF FIUNG :
ST. LUCIE OOUNTY TOTAL S 2~822.13
FORT PIERCE~ FLORIWi1
WITNESS my hand ot ~st Palm Bsach~ ~
rhe 6th ~r of rbve~ber , 19 ~a
SIGNATI~tE TiTIE
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(3• A. SNARPE ~ ~~n9 ~~P 9
(NOTE: Ce~tificale of oPficer outFxxized by law to toke ocknow~edgmenis is no1 esseMid 1o the valid~ty of Nolice of Federd Tm~ lien G.CJrI ~
26419, C.B. 1950-S1, 125.)
PART 1-To be ~etained br r~cordire~ offk~
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