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Fwm 668 OE~ARTMENT OF THE TREASURY-lIiTERkAI REVEMUf SERVitE fOi ~uOnal !/s! By R6~CWdinq 01/ip
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taev. ~s-~a? NOTICE OF FEDERAL TAX UEM UNOER INTERNAL REVENUE LAWS
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DISTRICT SERIAL NUMBER ~ ~
Lostan, :`~;,s. ~ O!F Ol L-1. 72~ _ -
Pu~suant to the ~rovisions of Sections 6321, 6322, and 6323 of the Internal Revenue ~,~~a~~ ~Q rR~t~
Code. notice is hereby given that there have been assesseci under the Internal Revenue laws r~~ ~ •
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of the United States against the following•named taxpayerj~taxes (including interest and a~~R~ 61t?G(~~f ~O~~f
penalties) which after demand for payment thereof remain unpaid, and that by virtue of ~~~~s~ YER:i~~p~~
the above-mentioned statutes the amount of said taxes, together with penalties, interest, ;
and costs that may xaue in addition thereto, is a lier~ in favor of the United States upon 8 A~ ~ tq~ i
all property and rights to property belonging to said taxpayer. r~ ~ i
NAME OF TAXPAYER
:~z~areil~ :^nsr~I i~ontractir.~ ~•o., Inc. corporatian} ~~2~ ~
RESIDENCE
~53 ..n~}~in~tcn a~. ~ •
~-ri~?-iton, _ a ~~-~S3 ~
UNPAID BALANCE `
KINO O+ TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMEPlT ~
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P~ACE OF FILING
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~t. i~tci~ ::o,2nty TOTAI S 17~~.;'+•72 ~
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WITNESS my hand at , on this,~
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the 22'~ day of ~,~ne 19 rl r' 3
SIGNATURE TITLE
~ _ F~evem_ie .,°fi~er .
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(NOTE: Cutificate of oifice? ~uthorir y law to tsk~ acknowNd9rtxnts is not ~ssentisl to tfie val~dity ot Notiee of FW~rM T~x L'wn Ci.C.M.
Z6419. C.B. /950 1, 125.)
PART 1- To be retained by recording of(ice Et~+ ~
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