|
���.. , . . . . . . . � . . � .,
<br />( . . . , . � : . � .. . . � . .. � . . . '.. . ..... .. . ...:
<br /> � jtn, ., . ... . ... _ ., ��.: , _.,,. ,. .. . . . _,. . , �. , �
<br /> .� ,� . .,_.., ,� ... ... . ,. , . , .,��- , �
<br /> . ., . ,:.. . . . .. . .... .. .,... . .
<br />' 1,
<br />� -�FOfm 668� ���DCPARiMEM OF��THE TREASUCY-IMEMIAt RELtNUC SEFv�CE� � � �. Fo•�Odronol'Jm�By Rrcerdinp Olfim� �
<br /> 5 .f �R�v.ia�i1�NOTICE 0f'FEDERAL TAX UE11 UNDER INTERNAI RFYENUE IAWS /��/�
<br />� 'c DISTRICT � ! SERIAGNUMBER 31250 �� '��t)�:)�1� � '
<br /> j. 1 -'- h��� ,- � . �� , � .. . . � .. . . .. � � , � '.��. � �:;,
<br />� 'Pursuant to'fho provisions of Seerionr6321,6322,nnd b323 oF ihelnfernafP.eve•
<br /> S ; nue Code, notice is hereby given fhot'tfiero havo;been assossed under 1he lnternal
<br /> Revenue Ipws of 1hc UnitaSStotes'againsi thafollowing-nomed taxpoyer,toxes{in8ud-
<br /> '..'ing interestand penulties��vhich aker demand'for pnyment thereof rcmoin unpaid:dnd
<br /> � that by virtue of the abovo-mentioned siatutes the amount of said tnxes,logether wilh
<br /> S penoNies;interest,,and.costsfhat may actrue in-cdditirnrthereto,is a liemidfavor of
<br /> F '' ' iMe United'States uport nll property and righls to;property belonginc�fo said tazpayer.
<br />�;�t � � �
<br />' ; 'NAME OF 7AXPAYER
<br /> i �T'Q� P� e�0?�C@ i'�.�;11E' I ,
<br /> i
<br />�. .� ? -
<br /> � RESIDENCE ' `
<br /> A ?15 5tuhr iioac
<br /> ; Grand`is`1ani: Idcbras}.�, C,"$C?
<br /> ,{ ! UNPA(D BALANCE i
<br /> KIND OF TAX ITAX PEPoOD ENpcD.�UATE�Of.455[SSA4ENT+ 1DfNTIFYiNG NUMBER OF ASSESSNEN7
<br />:.� �a) (�1 !c) � (d) {n)
<br /> r �
<br /> '; �V� �c�.—r'.i•.~J ��C1..v;.�7�• .i,`�l.c C.��-. ,..'� . nta�./i.�.�C� .
<br /> . , . . . ��. .. ... ..� ', : �.,:. �...
<br />�; � :.. ;�: . .. � . . . . � . .�. '.L'. ..�:�.
<br /> 'i. �: . . . . � � � . . . � .
<br />',( .. . . � . . . . .�� � � . � . . .
<br />`,�.� '.. :... . . . .. . � . � . � . � � � .,
<br /> �
<br />,,i . . � . . . .. . ..
<br /> .
<br /> , ,.
<br /> .:
<br /> ,��. . �.. �. ��. �' . �. ._ �.. �. ... . . .. .. �. .... ... ..:. . .�.. . `� , . �. , ` '
<br /> ; .. .. . I. � . . . . � . � � .
<br />� � . . �i . . . , . . ..
<br /> ` I
<br /> ; PLACE OF Fl11NG � ;,�rv: O:' �r�4�ds
<br /> . . � �J11R',1r . )?' S�1�� TL�7AL�. .5:;4` .�a .
<br /> . � �. C+_1IlC.i..-.1..3 3i.:y: i:CIJi 3ti1L� .t?�S3r�'i. . � . -!��- ' � . �. . . �
<br /> , WITNES$my hand'at- " �r�n�] 7ci.nr'y *s�; ,,.�r,b.�
<br /> � - . ,bn�this, . .
<br /> the,,2�}l..day�of 'c1171tI�1T'r,19.`[� .. . . � . . . . . . � � .. � .. . . . . � .
<br /> r 'SIGNA7URE � . TITLE
<br /> ����i�/fi�.lit'"''`�--� � .
<br /> ' �... ?;. Rti_�'£ne.. : � Re��enue v��'i.�er
<br /> .4 . �NC17E:Cert�celeof ofliceroothonzed-by bw b toke acknowledamenl;is not essentiol b�he validiy ot Nofice oi-(rderoi Tme.tien G:C:M.
<br /> Y6d19.C.B:'145D-51;125:j
<br />: f' PARTI—To be rofalnodby'retordiag-affko
<br /> . . . . .. � ' . .
<br /> . .... .- ..,: ,:: �.� �- �
<br /> « �.=. . . ::.� �.,._ . ,
<br /> � �� . .. . � .... . .. ., . . , . �! ,�, ''
<br /> . . . . . .. � . � . . � . � . �N {
<br /> ?� � � �
<br /> . . . . . . . � � ly�I
<br /> . . . . ' � . . � � � �
<br /> � � J
<br />
|