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Fo~m 668 oEtAtctMEMt oF n+E t1EwsUtr-MEeU1t REVENtIE SERVKe Fo. Op?~ond U~e 8y Rerwdng ON'ioe
~-~01 - NOTICE OF fEDBtAI TAX t~l !lND~ WTERNAI R~YENUE tA4YS f LEO ANO REGSRO~D
DISTRICT S6tIAl NUMBER ~ S~• lUC1E COUNiY F A.
Jacksonville, FL ~ CLEpK CiaCU1T
COURT
~ - RECORb YERIFIEO~....~~•
Punuant to the provisions of Sections 6321, 6322, and 6323 of the Internal Reve-
nue Code, notice is hereby given that there have been assessed under the internol ~ P~ ~~5
Revenue laws of the United States against the follawing-named taxpayer, taxes (includ-
irx~ ~nterest ond p~nalties] which after demand for payment the~eof remain unpoid. and
lhot ~y virtus of the abov~mentioned statutes the omount of soid toxes, together wifh
pena~ties, inrorest, ond costs that may accrue in addition thereto, is a(ien in favor of ~ 31~4
the l)nited Stotes upon all prope+y ond rights to property belwging to said iaxpayer.
NAME OF TAXPAYER
8AC0 DISTRIBUTORS, INC.
R~SIDENCE -
3361 S. Federal Hwq ~
Ft. Pierce, FL 33452 -
_ UNPAID BAlANCE
KfND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NIJMBER OF ASSESSAAENT
tai (~l k) (dl {e1
940 7412 6-16-75 59-1356327 ~123.08
941 7412 S-OS-75 59-1356327 3,023.65 :
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~ PLA~E OF FIUNG Clerk Circuit Court
~ St. Iucie County _ TOT/LL ; 3,146.73
~ Ft. Pierce, FL 33450
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~ West Pala~ Beach, FL
~ wiTNESS mr hand af , on this,
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~ tfie 22nd ~y of July 19 75
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~ SIGNATURE _ TITLE
~ Ja~es 0. Shuop Acti Grou 1lana er
(NOTE: Cutdicate of o(ficer authorized by low to ~alce acknowledgmenls is not a~entid b the voliddy of No~ics oF F+edaral Tox l'~en G.C.M.
~ 26419, C.B. 1950-51, 125.) ~ ~ R
PAttT 1-To b~ wtain~d b~? ncordin~ ofBu BQOK ~Z~. PAGf ~`tU
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