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Fam d00 " fo+ OP~+~ Us~e Br . Oltice ~ J:
ptEV.=•771 NOTI~E OF FEDERAL TAX L~N ~NOEA INTEIINAL REUEIIYE LA~ f LEO AMO RECpROEO
OISTRICT SERIAL NilMBER . i~ ~tIC1E COUNT1r FIA.
J&Ck3C~1Vi11@ ~ CtERKGC RCUIT CO8tlRT ~
a:~r~~? YfR4Fif~~.
Punuant to ths pro+iaions of Sections 6321. 83Z2. snd 8323 d th~ Mtsmsl Fiewrxis
C.ods. notio~ is hsr~by ~ivan that th~s hew b~~ as~easd undsr ths irttamsl Revs-
o+ ~ u~a s~. ~ n,~ ia~~w-~ tw?a~~ OCt 10 IZ ~s PI~'j~ .
inaro~t sni penaltiesf wnicn atca. dsmsnd ivr pwmenc - thsraot remain unpsid. snd
thst q? virtw ot ths above-mentia~ed ststutes tl~s amount of said taxss. top~thsr with . s~
asnaltjss. ~ntsro~t. and. oo~ts that may accrus in _addicioe thsrsto. is a lien in tavor af ~
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NAM OF TAXPAYER : j~~~~
MelPord J. Nixan
RESIDENCE'
2712 Avenue P '
Fa~t Pierce FL 33450
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KINO OF TAX TAX PERIOD EDIOED DJ1TE OF ASSESSMENT IDENTIF1fING NUMQER OF ASSESSMENT ~
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101,,0A 1~-31-76 9-26-7? z61-?1~6886 3425•62 '
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PLACE OF FIUNG Cl,erk of Circuit . ;
~ 8t. Iucie County Cotu~thause 70TA1 i 6 `
~ ~ Fort Pierce, ~ FL 33450 ~5' 2 :
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WITNESS my hand at Fo~t Pierce, Flox'ids~ on this. '
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1 h October' J 18 77 t
tM~_dst? of ~
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SIGNA?URE T~T~ ~
Rav~enue Officer ~
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( TE: C~rtit+c~t4 d ~nd bY trw to alr ~du+owNOpn~ia is not wMnual w dr vali~ity of Naia d i~dwal To~ 1i~n G.C.M. i~
' 19. C.d.1950- t. 5.t
PART 1- To bs ntainsd by recordin~ oHie~ ~ 1~ 1
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