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FOttn Department Of the Treasury -Internal Revenue Service
(Rev.September1978) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number For Optfonar Us• bN Racadfng ONics
SUa~40 190 t~0'~ -4 Fli 12~ 1
Jacksonville
As provided by sections 6321. 6322, and 6323 of the Internal Revenue Code. s,' ~ ~ r,} ~ ~ ; ~ .
notice is given that taxes (including interest and penalties) have been assessed 1••~
.n ~~:....i.: (.~uii n
against the following-named taxpayer. Demand for payment of this liability has
been made. but it remains unpaid. Therefore. there is a lien in favor of the United . -
States on ail property and rights to property belonging to this taxpayer for the
amount of these taxes, and additional penalties. interest, and costs that may a)L~ie~Y~
accrue.
Name of Taxpayer
Do*:ald J. Oeborat) Coble
Residence
32J~ ,octh 7th 3t.
Fort Fierce Fla. 33450
Kind of Tax Tax Period Ended tats of Assessment Identifyirq Number of~Assest
U) lb) ~ (c) [d1
20lt0 -12-31-78 09-29-80 264-25-4313 1,922.35
I
t
~ Place of Filing
~ Clerk of Circuit Court
St. Lucie Coi~rty Courthouse Total = 1,922.35
Fort Pierce, FIa. 33450
This notice was prepared and signed at Fort Pierce, Florida , on this,
6
the~h., day of October ,fig 80
Sig re Title
~ ~ ~ -
Gnarl :s J. Jr :tevenue Gfficer
Mote. t:etilfure a officer aurhon:•d btr raw ro fake -sckr?owtadym•nb b not paantld ro me varwrty o1 Notlce o/
FaWra1 rar Lhn o.c.M. 2e~ra r9so-r, c.e. rza.) ~ OR
` Part 1,=To'be_ke~:btrrscordirq officet~ P~ ~orm 668 (Rev. 978)
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