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f~ ~j' U. S. TREASURY DEPARTMENT - IIITERNAL REVENUE SERVKE~ tir 4irrt (p~ A~r R~oiiiyGNfc~
(REV. e.ay~ CEtTiFKATE OF REIEASE OF FE6ERAl TAX l~N:r
DISTRICT ' ~ SERIA a, Q. '
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t h.?.~r c•ni1~? thot vs to tM follow~ny-na~.d w,cps~r.r ~A. r~quir~aNnts of S~ction 1"73512
6~,5(e), Int~ni~l R~v~nw Cod~. hov~ bNO sotisEii~,witl~ hsp~et to tM wx~s ~nu- `
~ ~rpt~d b~lor~;; toq~th~r with oll stot~darr odditions ;~ovid~d br S~etion 6321~ O~ 7: , y
thet ih~ li~n fer sve6 ro:~s ond statutory? odditian~_I~os th~t~by bNn r~leas~d. TM
~ poMr officK2 tJhe offiu wh~r~ notit~~ int~mO~.:r~v~nw tox Il~o wos fii~d on
~ 1V9 Q , 1Q___, is Mr~br authwi:~d w~ok~ nototion
on his books;,to show tl+e r~lws• of soid (i~n, iet~oFar as tM li~n ~~lot~s to',~ _
foliowin~ wx~
NAME OF T XPA ,~R
, ~ay~ond Go~+do~n
. 2309 Av~nw "a"
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RESIDENCE gip~ pi~n~~ Flotid~ _ • ' ~
CLASS OF UX ~ UNPAIO BAIANCE
(Tox R~tvrn F«m No.) PERIOD EN~ED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
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I; ; i1H 943 1963 3/27 /64~ b~? 3 Z8 •
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I RfLEO AND R ~pi;OED~
3T. LUCIE CVE~I~~IED~~
RECORD
1'735r12
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RO~ITRAS ,
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~ PLACE OF F1lING
~ ~ CUrk, Circu3t Court ToT~~ i 197.63
j St. Luci~ tb~mty
~rt Pi~sc~, Florida
WiTNE55 my hand at Jaakaa~rill~, Florida , on this,
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the 2~ da~r of ~w~ , ~q 69
SIGNATURE TITL `
- ~ - Cbi~f, $p~cial Proc~dur~a S~ction
Jack t
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