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HomeMy WebLinkAbout0344 • oa~na~r af n~ - rra~t ~ sawcE io. Opr~on,r us. er R.c+ad~,~p a~. ~R~ NO?ICE OF FEDERAL TAX l1EM MNDER IMTERNli~ REYE~IE LAwi OIS?RlCT SERWL NUMBER ~~i~~~ y'/ Jacksor~nrille ?ursusnt to ths provisio~s ot Ssctions 6321. 8322. and 6323 d ths Intems! Revenue Cods. noti~oe is I~ereby piven that thsre havs been aaessed undsr ths Intemsl Reve- . nus Isws ot ths United States agai~st the following-named taxpsysr taxes (indudinp ~ intsrost _ and penatties) which aiter demand for PsYmeM thereot ren?sin unpsid. and ~ ,t5 Mat by virtue of the above-msntione~! atatertes the smount Of said taxea~, toaether with a~ OLE~ ;RLUIT COt~4? - pensltiss. intsrost, snd costs that ms~I sccrus in addition theroto._is a lisn i~ fsvor of ''i~EO ~~n~ S~t~ e~~ ~~h~ ro~~ N~: J 0 3 42 PN'~7 NAM OF YAXPAYER - - _ c. Roag~s ~ i~t~~~Q RESIDENC~ 37'~~ Ax~nue 0 I~or ' er FL ` = uNP~u~ snw+c~ ,t:" OF T/1X TAX PERIOD ENOEO OATE OF A$SESSMENT _ IDENTIFYING NUMBER- . OFASSES.S~Nt _ Is! (b! (e) (d~ - i~y 943 ~-31-?4 - 07-21-75 59-1450445 S ~50~.00 943 12-31-?6 03-21-T7 " 6,699.54 ~ ~ I- - PLACE Of F1UNG Q~.k of C32`Ctiit Co11T"t " _ _ St.- Iucie COUtity Cotu'EhOLts@ . TOTAL S 7~199.54 Fort Pierce~ FL 3345~ - ~ WITNESS my hend at Faz~ Pier~~~ F1 eri dn ~~a. th.~_day ot Octnher _ 19 ' SiGNA ~ - T17LE ~ : / Revenue Officer _ ' TE: C«tificasa o/ o1FcK wMorpd by Isw a Ws ~duw~wwdpm~nes K not ~niM o~ th~ •ali6tp ot Notia W F~d~ral Taa ti«+ (i.C.1M. . 28~f8.C.8_ t950-1. 725.1 _ _ PART 1-- To be rstsi~ed by ~scoMing offics Q~~~ ~ ~ZZ ~ _ j