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' _ _ _ _ . _ 's., ~ - ~ - p~, U. S. TREIISURY CEPARTMENT - WTERq~L REYEINIE SERVICEs Fw qMiw~) lb~ 1/ Rro~J'M Ol~n (REV. e.br~ CERTIFK~TE Of~ RELE~SE Oi i RAL TAX LENR' - 4- OISTRICT~-a SEhfAL,gl~O. x . • ,llorida :`~-y FIL~O AN8 R~GQR@~0' t M?~ e~rti/y tiat os to th~ followinq-no ta: tt tlN rpuir~ments of15~ctid~? . ~'Y', ~,~JCIE L?~~~~'Yi ~,A. 63~(0), Int~nidl R~v~nw Cod~, hsw bNn wt{sfi~#~rith e~sp~et to fM to~s ~nP- R~(,`QR~ ~FIE~ w~rot~d b~Iwe.,to~tF~r with oll stotutory additiontt~'povid~d by S~etion 6~21; aAd ~ ~ tlat th~ li~n fM such ~ox~s end stotutoryr oddiRioos. s tMnby be~n r~bos~d. Ti» ~ ~~„JC.~', prop~r ofiicw~'i'n ~fie~ wh~r~ notic f in»r~hvMw taa li~n was fi4d on n nn y~ Attglt~t l~t~t., ~ 1~_. `,is h~nby on~l+«~s.d to ~ok• noro~~on ~v` u~T f~1 i on his b o o ks+to s how t h~ n l ~ os• o f soi d l iin, i~ f ar as t h~ l i~n n k b~t to~ 5~ 4 fo~~o+~?~~ ~ox•r ~llis'~-~ ~ - ROGEt3 POiTAAS ` ~ NAME OF TAXPAYER Jphnpi~ V~ : . r ~it.ERK CI~CUlT COURT . ,x., ~ : ~ ; RESIDENCE ' # . + :i~ ..1 'i CLASS OF TAX ~ ~ , UNP~ID BALANCE (Tox R~twn Fws No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT (o) lb) (e) (dI N) Inco~s 1955 6/?,2/56 1956 OZ 1504951-6 155.42 HH 6/55 3/30/56 1956 Nar 30 6597 405.40 WH 9/55 3/30/56 1956 1lsr 30 6598 463.30 tiH ~ 12/55 3/23/56 1956 li~ar 23 6222 232.09 PLACE OF FILING Cl~st, C1TCUit Coult TOTAI t1.256:2~ St. tuei~ Couat~ ~t. H~ra ~ llorida WITNESS my hmd at J~ck~omriii~, 8losida - , a, ~,;s, . ; 4 the lst '~y o{ Octob~s ,~q 68 IGN~ATURE TITLE ~ Chi/f~ Sp~cial ps+oc~dut~a S~ction ~ (N07E: CKtif ef offie...Y~h«~~a br law n~.k• «k~+o..1.do~..n~s is • o tM vo1W' ie~ ~i F~rel T~c Li~n G.CJiA. - ~ ~ ~ ~~9, c.s. ~ s~, tzs.~ T~CE e~ pb ~ _ _ . - ~ ~ , ~ART 3-To b~ us~d ~ nco~n~ perposN