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HomeMy WebLinkAbout0356 ~ , - - - - - - - . - - - - - - _ _ . _ _ D~• /cS,3 / - U. S TREASURY D~ARTMEN~ - urtEe~u?~ Ittv~~E SElv~CE r.r 4+w.~f 1~. M~•o«r?.~ a~+.. • 1tt~v. 4-es1 ~ ~ ~ ~ ~ ~ D1srR1~T 3E~U1L' 1~1Ml~ ' ~ ST~UCI~E CO Y~~A,. R ORQ V RIFI~O ~ ti«.e,? ~ ~ N,. t~w,~-~,.a ~ s.o~ a3zsc~1. ~C Intemol Rw~~w <'Ad~. Faw boai safisfi~d with r~sqcf b Ih~ Mx~s ~whd bbar, toQMher 161'?"71 w~th all staNlwy adelitiot?s provleMd by S~ctan 6321r and thot th~ h~n fa ~trd~ tox~s ond Q . atotvrory additions FWS tM.sby ban rslsossd. ih~ prapK officer ie th~ offics wMr~ notics d~ N~ ~ ' i~ i ~ ~ intxnd nv~~ fmc N~n wos Nl~d o~ Au~ust 42 . 19_5~, is I~~ehy /J Q t C~Ct~C~L~l.~ wMwisd t0 nab ~wlotioe oo his booics b tlpw 1f~ nleos~ of soid IUry inso(or os /M li~n 7 ~o~ w ~ ~~w t~~ ROGE~i ~OITRaS NAlME OF TAXPAVBt ~LERK CiRCU1T COURT ~l~r ~ ~r~ RE510BrCE OR RAtE Of !t)SIN6S J - ( 1Lel~ia _ - ' CLA55 OF TAX IJNPAID dALMICE (Tox RMwn Faro No.1 P9t10D B~D~ /~SSA~B~t! Q111E IDBdI1F1fWG PN1MEBt Of /~SSES,S~MB~Ii bl IM (d Idl ld I . I f ~ I I ~ 1 - ~ l ~ aF Rur~ o~s~t ~ f~ ~ ~ T~TK = ~4 t~~ ~S~ ~ WITNESS my hand ~ Jackso~wille, Plorida , on this, tha 25th ~ October j9 67. , . DISTRIC! qR8L70R af lME1NAL ~EYB~JE SY (Sfpnokny _ c,,,,.: $~Mi~d'`P~ocedures SeCqo11 A. J. 0'Do~anell, Jr. R'fOR6 GrNBaoN of ofHwr a?Mw~isd b~? law b kb M not ~weMid b fiw vdidN~? d G.CII~ ~6419. C.e. 6~oa~9 QAGE 3~2 rn~rr s--to w. ~..a ~ ~ . _ r - ;