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~ . ~ . . . . , ~ - ~ . . . _ . . - _ . ! . - _ _ . - y fo, optb,n, ut~e 9r ~ . ~~v.~i-~in IIOTICE OF F~ERAL TAX l~ ~NOER iMTERNAI REYENYE LA~ O~~E~~,Mpt~ . M T ~lA. D18TRICT . SBRIAL NUMBER ~ROQER /~pITRA . CLEMI CiRCUIt ~yRT _ J~O~LdOIIf~lle - "'"~rl` YFAIf1E0 - Purawnt to ths P~ ~ 8~ctions 8321. 63Z2:.l~d 8323 of tM IntsmN R~wrx~ c_ ; Cod~., ~wtio. i~ n«eey ehat tt~s navs t~n Ms.asd ar~. en. ~ne.nwl Rwa- titp 9 ~ 16 ~~7 ~ nw Iwvs q1 ths Unit~d Stnes spanst 1hs (ollowi~n~~sd ta~s~ tsx~s (indudirq imt~rNt ~nd Dauitis:l which sttst d~m~nd tor piymeet d~eof nmsin unpsid. ~d ~ aut d~ virew of a» abow-mencioMd a.wta a~s .Rwunt a said wus. ~op.n~ with penslws, int~rost. and ooas that n?~Y ~oaus i~ eadkion thKeto. is a Iien in taror o1 vr0~~iri ~ the tJQited Stat~s uDOn s~ P~aWnY and riphts to prbP~K ~D~ m~~1rK- NAM F' AYER ~ ~s a. xa~c,a . ~'78i4Z RESIDEtrCE ~ p. 29~h Strset 4 Faart Pierae, FL 33~1 ` : uNP~u~ e~?uNCE KINO OF TN( TAX PERIOD ENDED QATE OF A~SESSMENT • IDEN7IFYING NUMDER OF ASSESSMENT W ~ ~ ~ ~ ~ ~ Ml ; ~ j 10~p 12-31-T2 ?-21-75 341-1~-?829 = 1214•65 ~ a i - ~ ~I _ ~ f I ~ ~v~ ~ • F ; ! } 3 S i PIACE OF FIllNG Ci!'~tiit C~iT~ - ' St . Iu~ie Coa~octy TOTAL s 1, 214.65 Fort Pieroe, FL 33~5~ ~ . ~ # , vvtnrESS Rn? nsnd ac K~~~• ~ a„ 31 at of ~ t s ~ 81GNATURE TITLE _ a. Shas~e a~p K~~~ ~ t~+o~: c.~er~.m a aro.? .~a+o~wa br ~.w taM~ ~ is ~wt ~N~ntiN to th~ vai~6tY of Nodo~ at Fad~rN 7~ w~ c.c.M. + , . 26~1s.C.~. t~1.125~.1 ~ ~~4 ~ ~ PART 1- To bs tetained b1r recordinp oifice ,