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- 469803 ~
Forth Department of the Treasury - Internal Revenue Service
(Rev Septemberl9Ta) Notice of Federal Tax Lien Under Internal Revenue laws ;
DlStrict Serial Number For Optlona/ Use et? Racodiny O/lice
Chicago Illinois
As provided by sections 6321. 6322. and 6323 of the Internal Revenue Code.
notice is given that taxes (including interest and penalties) have been assessed ~D AMA t.=. ,~~EB
against the fdlowin arced taxpayer. Demand for payment of this liability has T 1UCi£ _ t FtA.
9'n - ROCi " ' ~ S
been made. but it remains unpaid. Therefore, there is a lien in favor of the United R!' Q~tR~ r.i
`tr:vi` :.euR
States on ali property and rights to property belonging to this taxpayer for the .S~
amount of these taxes. -and additional penalties. interest. and costs .that may
ague. ~ ~c i8 IO o~ ~
Name of Taxpayer
8ene l3orderie ~~980a3
Residence
18 Baat Division, Chicago, Ill. 60610
Unpaid Balance
Kind of Tax Tax Period Ended Dats d Aasessrttent Identift?ittg Number of Assessment
la1 l61 [e1 ld1 ~ [d
'941 - 17 70/09 1/24/77 357-40-2017N 1320.51
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Place of Filing
CLERK OF THE CIRCUIT COURT
ST ~ LUCIE COUNTY Total ; 1, 320. S1
x FT PIERCE, FL
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This notice was prepared and signed at t~hicago, Illinois . on this.
the~~ day of Noveatber ,19 79
Signature Titie
~
&evenue Officer
Mote:. to of otllcer- authorized Dy• law to tale acknowledpmetta b nor esieMla/ to tM valldlty o/ Noflee W