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h~ U. S. TREJ\SURY D~ARTMBdi . IlRE~lfAl RENElR1E 3HVICE QM1~1 IM A~ beM11y ONIe~ ''y i
u~v. CER'TiFlCI11E Of RE1fJISE OF FEDERAL TAx L!E]'1
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~ Jacksonvills Fla~ida ~c . . fLA.
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Inromal R.v~w Cod~. haw b..n satisfi.d writh mp.ct fo tiN fox.s eMwn.ro»d b.low. topelh~ry
w:*h oll qatvtory od~tioos provW~d by Ssdion 6321 r o~ t~ ~ S cEp Z 1 pN ~ 8
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ourhortz~d to malc~ nworioo on his books b ~law tM rol~ of soid li~n„ insofar as th~ It~n f~QGER QD~T~~O
~.~at« w+~+. to~~ow~~w ta=~s- . LERK CIRCUtT COURT
I NAME OF T/J~AY6t
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~ 11i09 No~th 16th Street, Ft. Pie~ce, I'~lorida
C1A~ OF TAX UNPAI~ d/LLMICE
(Taa RMxn Fonn No.~ PBt10~ B~ID~ /155E55AABQf QATE IOFNTIFYING t~JMd9t OF ASSESSMB~R -
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~ PIACE Of RLJN~i
Cl~erk~ Circuit Conrt rorn~ s 299,5R
~ ~ St. Lnci,~ Couat~
~ ~ F`t. Pieres, ~orida
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Jackao~ttville, Florida
WITNeSS my hand ~ on fhis,
the 23rd~~ Septen~ber 19 66
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~ ~~srwcr aRec.~ oF u~nteatK ~va~~ sr rmF
Chiel, Special
, F. S. Schaidt Procedurea Section
Qd0'T6 C~M}loot~ of ofllo~r w~borfsd b~r low to h no1 ~nt1a1 to 11~ vdidif~r d thb docunwr. Cs.CM. Z6419. C.l. gif
1950.1, 145.) ~ ~ ~ r
r~?irr To b~ us~d fo~ ncordins pvrpos~s 3s3~
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