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Form 6~8 Dopartment of tho Treasury - lntctrnal Revonue Sen:ica '
(RQV.Septembert9781 Notice of Fe~erai Tax Lien Under Internai Revenue Laws
District Serial Number Fo. oarro~a~ u:e br A«o.a~~9 or~~~o
Jacksonville, Florida 519454 -
As provided by sections 6321, 6322, and 8323 of the Internai Revenue Code.
notice is given that taxes (including interest and penalties) have been assessed
against ihe toltowing-named taxpayer. Demand for payment of this liability has
been made, but it ~emains unpaid. Theretore, there is a tien in favor of the United
States on all property and rights to property belonging to this taxpayer for the
amou~st of these taxes. and additional penafties, interest, anC costs that may
~~~,e.
~ank Cameron & J ohn Cronk ~ Partners
dba Excavating & Paving Specialis~s
Residence 3q.5 Concord
Port St. Lucie, Florida 334j2
Name of Taxpaye~
Ft~ 0 ~N FECORDED
ST ~E ~~TRYA~A.
tIEBK Clfttlitt COUR ~"
AE~ORD ~'C&tf it^ ._ _ °~-~-~ --- -
~i -
51945~
' Unpaid Balance
Kind ot Tax Tax Period Ended Date of Assessment Identifyin~ Number ~ of Assessment
(s) (D) (W !d1 (e)
941 06-30-79 08-27-79 59-1876039 1,232.40
9~1 03-31-79 ~9-03-79 59-1876039 1,633•30
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Place of Filing Clerk of the Circu.it Court
St. Lucie County Co~zrthouse T~~ = 2~$65~70
Fort Pierce, Florida 33450
This notice was prepared and signed at Fort Pierce, Florida , on this,
the_ 6th dayofMarch ,~g
Signature
81
~~~ /, / ~c~~ Title
~iL/
. W. Watts Revenue Officer
(NOte: Corirf:cafe ol oflicer authorired by /aw to fake acknowledymenfs is not stsenlia/ f0 tA~ v~fidrfy ot Nplic• of
Fedei~l ?ax Liort (3.C.1L1. 2A~19, 19541. C.B. 12b.) (t~t~
Pa~t 1-_ To be kept by ~ecordiny_off~ ~~ ~Form 668 (Rev. 9~78)
t981 NAR -6 P!~ 4~ 3S