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sN u. s. r~wsumr o~~?mN?a~rr ..~rEa~,~ ~ s~v~ ~ h. u» ..«~+w ox,~.
4~~ ~Fl~~ ~F ~ ~ ~ ~ ILEO AND RECpROED pR
~sr~uc~ ~ r"'M'~ WCIE COUNtY. FLA.
( 147964 ~RECORD V~RIFIED
~ ~ ha~by cKtify that as to tM (olbwieq-noe»d laxpoyer M+s requ:remenn of Section 6325(a), R~ ~~04~Nt/"
Internol Rev~wx+s Gotl~, have been sofisfied with e~f to the taxes erwmerot~d below, toget
w~th ail tlotvtory odditi«+s prwidd by Ssdbn 6321; ond that the I~en for wch toxss o~s ~~T ' O ~ • o0
stoh?tory oddiHons hos thereby be~ releosed. iM proper officer in the offia whsro noYws of
internol rwenos 1ax Iisn woa filed on ~u$USt ~tb , 19
66 h I~re6y ~4~0
~ ovthorizsd to moke norotion on his books to slaw tht releoss of aaid lien, insofar as th~ li~n ~~t~~~i; i~Q~TR,'~S
; ~or~ a r~. to~b~~ ta=~. C ERK CIRCUIT COURT
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; ~A~E OF TAXPAYBt
~ ~6ilt~ ~d e'la+~ r~arl
~ a~~oercE oa ~ aF eus~rras
~ 605 /lsaL~a l~, l~art Pi~, yl~e~i~ia 33b50
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(Tux a.A,m Fo~m No.) PBUO~ edD~ wSSESSMe~r o~A.~iE ~oe~mFlnWG NuMBBt oF wssES.w~e~tr
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WITNESS my hand at Jackaonville, Florida ~~~is~
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the 7th d of Octobar ~ 66.
aY 9
~ o~sraaartecrortoFwreat~ui~ve~ dY ~ T~~ Chi~f 8 ial
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F S. Schsidt Procedurea Section
(NdiB GrflRcote of offla? ouNarizd by law fo ~dyrrrnb h nof ~a~Qil fo 11w volidtfy of fhts doourn~rM. G.CM. 26419. C.O.
1950.1. 125.1 kc
PART 3-To b~ used for ncording purpos~s d~ ~t~U PIICE ~ Vo
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