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F«m 668 oer~r~r oF n+E ~w~un-r~rEe~ ~ s~ev~ ~ Fo. o,Pr~onol u,. h R.oo?d~a OiRo. ;
~~v iao~ NOTKE Of fEDBtAL TAX L81 UNDQ MIT~MAL REYEIiI~ LANIS ;
SERIAL NUMBER
~~~T JACKSONVILLT ` C ~
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i~~~R~i'YE~BC~J 6 ~
Pu~wam ro the prova~or?s of Secti~ 6321, 6372, and 6323 of the Internol Reve- !E9 ~
nue Code, nofite is hereby given tFwt there have bea? assessed under the IMernal ~1/ f A~/ ~
Rsvenue laws of the United States agairat ths folbwing-narned taxpoyer, taxes (includ- L
ing i~est and peoahies) which aRer demond for poyment thereof remain unpaid. m~d
that by virtue of the obove-rnentionad statuees the omount of said toxes, toge~ther with
penoh'~es, interest, and cosh that moy acuue in additioo thereto, is a(i~ in fmror of
the unitea States ~on at) Pr~P~h? ana ri9hts tc Prope~tr be~«~9ing ro said laxpayn~. .'~r9~9
NAME OF TAXP/1YER " -
GRZILD A& ffi.SIB 3 JO~iN90N ~
~~oeric.~ 6o?a wIST~RL? AVS
FORT PIBRC& F'L~I~A 33~?5~
UNPAID BALANCE ~
KINO OF~TAX TAX PERlOD ENDED /1SSESSMENT DATE IDENTlFlfING NUMBER OF ASSESSMENi ;
Ia) ro) ~d~ ~e~ ~
; to4o t~3~.73 06-03-?4 42A-28..0?,56 3.~03• 5g ~
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PLACE OF flUNG p~ CIrCUK GOIJrt ,
T0Tl1l = 3.103• 58 ~ .
S~l. LaJClB Ci0llftly ~
Fort Pleroe. Florlds ~
WIi1~SS m~r hand at ~ MIAMI. FIARIUA , on N?a,
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13T~I ofNOV~IBFIt ~ 9 ~4 BO~K ~ PAtiF~~Jt~7
fhe da~? . . ;
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SK'~tdl?11~tE (~iIBF~ OFFIC& ~tANC~i ~
h: c.r+~'~o01. of oR~ b tok. ~K ia ~a e~rid 1o th. vdid-e~? of Na+a. of F.a.ra r~c ua? c.el~+. f
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26419. C.B. 1950-S1, 125.) '
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