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<br />Form 6 fib ~ D2partmor~i n4 the Treasavy - Interna4 Revenue SeNfce <br />(Rev.Sep[emDar197B)I^ - ~Noiice df Federal fax Lion Under Intern~i Revenue Laws <br />~ISiftCt - - ~ .SBrlaf Numbe( For t3ptionai uae oy necwmn9 v„roe <br />fir- ,"i` 40914 ~-- <br />- _ ; <br />As provided by secti~ris H321, 6322, and 6323 of the Intemat Revenue Code, ~ Op ~ <br />notipa Is given Thai taxes rincluding interest and penatt(e5) have been assessed i C2 ~) i. ~ -~ c3 <br />against Me faaowing-named taxpayer. .Demand far payment of this Stability has <br />been made, twt it remains unpaid. Therefore, roars is a lien to #av0[ of the united <br />States on all proRerty And rights to property belonging, to this taxpayer for the ; <br />amount of these taxes. and additional penalties, interest; And costs that may '; <br />accrue. <br />Name of Taxpayer <br />Residence - _ <br />,;f _ .,. .. __ ,_ I <br />u.._ _~_.. -~ ~ - ~ ._ ~ <br /> I Unpaid Batanc~ <br />ICI+fQ of Tas Ts: fatiod ended( Dats of AssesamMt ~ Identifying Number of Assessmwtt <br />[o i ie7 i rc) I tn; of <br /> <br /> <br /> <br /> <br /> <br />Ptace of Filing <br />_. ~.-. y.~rt~~, lveor~ska r, ,u? i ~ <br />I <br />'TNisnotk,~twisP-eDaredendsignxlat_:=U•°~• -_- -af =leUrasYa -------------__~~,cnfhis. <br />the- ~'~~; day of __-~~ ~_ ,t9 .=~ - <br />Signature ~i ~ Title-~- -~ ~~ ~~~ <br />(NA« C1rt~/ic~Y o~' Otfic~r a:vlho.¢ad Jv Isw r~ rax~r icwnow:o~YQrienrs n.a a sn Uat fo rC• val/O/fy M Nctrt:e of <br />F~OM~l 7u t»n 6.C.N_2Na t9. 1950.1, C.E :2S) <br />Part 7 - To be kept 4y-rscordirtg office Form 6881Rev, 37e1 <br />