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DeAitTYBrt Of tME 111fASIM1? - ~NTawAI ~YNME =HMCE fa opranai use e~ Res~o~ding OHice
tR~.i-~in NOTICE OF FEDERAI TAX IiEN UNDER IMTERMAI REYENYE LAwS
OISTRICT SERIAL NUMBER
Jack~onv!lle ~
Punuant to Me provisions of Sectio~s 6321. 6322. snd 8323 oi the Intemal Revenue
Cotie, notice is heroby given that there have been s~seaed under the Intemal Reve-
nue laws of the United States agsinst the foltowing-nsmed ta~cpaye: taxes (induding ~~19 _1 ~
interest and penalties) which after demand tw payment thereof remain unpaid. and ~ 32
that by virtue of the sbove-mentioned statutes the amouflt oi seid taxes. ~ogether with
penalties. interest, snd costs that may accrue in addition thereto. is a lien in favor oi i~1E0 AHO FECQRUEO
sr.`tJC~E COUNTY.f~A.
the United States upon all property and rights m propatty be~onging to ~e~d taxpayer_ ROGER POITRAS
etERlt CfRCtlIT tOURT
NAME OF TAXPAYER ~~C6,Zfl VERIFIFP_
Fred L. 2c ::elen ~io:n :~:r. '
RESIDENCE , ~4~W5
2 %03 S. ~~.:i. r`~1
r t. P~ierde, . ~34~J
,
UNPAiD BAIAHCE
KIND OF TAX TAX PERIOD ENOEO OATE OF PSSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
ls) lbl " =.c1 Id) 1~1
941 1?_-~1-7" 0>--2~-`r`9 7G-
~~33t,.21 2~ ~0
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PLACE OF FILIf+I~
~ Cleri: of ~_rcu~t :ow?-t
~ TOTAL a ~
.;t. L,.cie ..o:;~.t~ ~•:x-t~~.o;.;~e 2,.,2~~.0~
z : i'ierce, i. 3345~
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! , WITNESS my hand at Fi'-'~~C~ r~. . on this.
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1 ~ Grtihca:~ o•. ffrcer sutho+a ~aw io ate acknow~dqm~nu ~s no~ ss~ntu~ to t1» vshd~ty ol Not~p d F~d~rM Tsa t,w+ G C.M :
2 9.C.6.1950-t t25.?
PART 1- To be rotainad by ?sco?ding ~Hice ~~r M F I
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