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~ Fww 66{ ` U. S. TRE/15lIRY DEPARTMENT • INTERw1l REvENUE SERViC! Fr qpwMl Us~ ~ R~od.y 01?~
(REV. as» CERTIfICATE Of RELEASE Of FEOERAI TAX t1Eli ~
~ oisTRicT . ~ p11.E~ AND RECONOEn
t SERIAL ~10. T, ~UCIE COUNTY; ~LA.
slortaa - lpsssb s 36 s-6o3 ~~'c~71-`~~p
I Mr~by certfi~r thot os to tM followiny-naeNd foxpti~?~r t!N rpuirem~nts of S~ctia?
~ 63~5(0), Int~rn~l Rewnw Cod~, hovt b~~n sotisfi~d witl+ nsp~et to th~ tax~s ~nu- - ~ ~
nNroNd b~low,. toy~tMr with oll s~otutwy additiatii ~provid~d by S~ttien 6321; ond pT 9~ ; Sg
that th~ li~n fer sucb tax~s and srotutwy odditions, Ips tMr~by b~~n r~leos~d. TM ~V 1 ~
prop~r offie~r in tF~~ offiu wh~r~ notic~ of int~rno~:r~venw tox li~n wos fil~d on -
~fav 16tL ~ , ~9
~-;s I,.nbr avd,w~s.d ro ~nak• nowt~on
on his books to showrth~ r~l~as• oi said li~n, insofor os th~ li~n r~bhs to tM R~G~R rO~T~~+s
foii~?~~ tax.s. ` CtERK C1RCti~T COURT
NAME OF TAXPAYER
~ Shaaroct Yiila~s of y?t. H~rc~, Lnc.
Ft. li~scs Hac6, ~lo~cids
RESIDENCE - -
1 4
~ CLASS OF TAX UNPAID BALANCE
(Tox R~ture Form No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(o ) ~b) (c ) . (d )
iiH A/9/30/61 4/6/62 62 ~ 130000 64.64
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I
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~ I
~ f
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PLACE OF FILING
~ Sti•L11C~~iCOUIIL'y~Olll~ TOTAL S #
te. n.ra., s~or~a.
WITNESS.n~y hahd m ~~~~ill~, l~lorida '~~1f, F
the ZSt6 ~ of Octobss 19 6a
,
SIGNATUR~ TITLE
.
raat Chi~f, Sp~ci~l Proc~dur~s i~ction -
(NOTE: CKrN ef olfie~r outheri:~d by low to tok~ ack~o~wledpiwds is net ~ss~ntiel te tM voliditr of Notie~ d F~d~.al Ta~ Lien G.CaA.
~19, C.B. 193451, 125.)
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