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F~ ~ U. S_ TRE~SURY DEPARTMENT - INTERNAI REVENUE SERVKE' i~? ' ~ ~
(REV. ae» tERTIFICATE Of RELEASE OF FEQERAL TAX l1EN CfE COUNTY, FLA. + _
'OISTRICT • SERIAL NO. •u''•~~~n V~f2t~«~ j
. ~ Florida ~ " .L~~,i~ :
1 h~r~br c~rtify that os to th~ Followin9-namtd toxpoytr th~ rpuir~m~nts o( S~ction ~CS I~ ~ ~
63ZS(a), (nt~r~al Rev~nue Cods, lav~ b~~n sotisfisd_ with r~sp~ct to tM tax~s ~nu- u 3• 3 9
m~ro»d ~low, to9~th~r with oli statutwr odditions provid~d by S~ction 6321; ond
thot th~ li~n for such tox~s ond stotutory odditions hos th~r~by b~e~ r~iws~d. TM
j prop~r oific~r in th~ offic• where notic~ of int~rnol rsv~ew to: li~n was fii~d on :;(,1~•~[ ~~Q1T~~1S
MAV 18th ,~9~ is Fyr•by aurhor~z•d to mok. norotion CIERK CIRCUIT COURT
o~ his books fo show ths r~ltose of soid li~n, insofar os th~ li~n r~lat~s to th~ .
, followiny tax~s. "
NAME OF TAXPAYER Mrs. E. Grace Aylin
~ Ft. Pierce, Florida - _ '
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( RESIDENCE
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~ C~ASS OF TAX UNPAID BALANCE
t (Tax Return Form No.) PERIOD ENDED ASSESSIiAENT DATE IDENTIFYINCs NUMBER OF ASSESSMENT
' (a ) (b ) (c ) (d ) (e) x:
~ Income 1922 1-18-28 #I928 Jan 5900111 405.80
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4.05~
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i PLACE OF FIUNG
Clerk, Circuit COUrt TOTAL S 409.85
~ St. Lucie Countq
i
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Jacksonville, Florida
wiZNESS my hand at , on this,
the 27th dcy of ~y ~ 19 68
~ SIGNATURE TITLE
. Chief, Special Procedures Section
(NOTE: C ti ot~ of offie~r aurheri:•d by Iw. ro rok~ know~~s is not
~s~ to tFr velidity oi No1ic~ d F~d~rol T~ Li~n G.CJiA.
26119, C.B. 195451. 125.) ~ b
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PART 3-To b~ u~d for i+~conliny purpos~s
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