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G . _ . ~.~0~ _ s s?i ~ • U. 3. TREASIJRIf OEPARTMW~ - MrtEM~u?l REVEN~lE iEIN~CE . 1ri 4~d M A?*yi~ Oi~ (REV.1-661 CE~TIFM'iATE OF RELEJ~ QF F~EDEtAL TAx UE~1 AH~ R~~Q ~ Jacks~vill~, Florida 1.3~1G6 . Cld Cd~~NT'Y:~ . . i ti«.a? a•~~fi? a. w~,. ~~-~»a w,~oy«:~,...~~~+. o~ s.a~ aassa~. _ R ~RO VERIFILD Y~i.n+d RwuM,. cod~. ~wv. b..e ,ansi.a witl~ napw to.ib. a~a..num.w+.a b.bw. +opwh~r - .l.~~ wilh ~1 atoluwry addilioro P~'arid~d b'f? Swia+~ bs'21 ~ ond Mw1 th~ INn la iueh ws~s and • Manrbry odditioer hos /M~rb'p 6~n tsbm~d. i!~ pto{wt ~f(lo~r in 11~ offio~ wFw~ t D.c.ob.r.~od ,~°°'~,~,89 23 Pl~~= !2 . I N ~ ~.r.~. w: n.~ ~i.a - 'v ~ \J autho~d to mek. nwo~ion on M. boob a ~Iww r» tii.w. d soia U~n. w»ofa. a~ d» ~i~n . ---5'~, ~ ~ ~ {0~O`"'"o1O7'~ - ~ ROGER POITRAS Ralt~r J. ~ Donna li. " 3~ickeraon ERK CIRCUIT COUlt~ 20atAv~nu~ "p•' - :s ~oe~ vR ~ cF susu~sa ~ ~ - Ft. Pierce, ~lorida ' N~~S6 OF T11X iRiAiD WMICE ~(Tmc R~wrn fonn No.l PERiOD fl~ED A~BSAAB~tI D~TE . IOB~RIPIfWN~13 Ml~AAlER af A9666MB~R ~ ca w ta~ w ~ 1040 1960 7/10/64 64 DY 64 16601 136.47 1040 1961 7/10/64 64 DP 64? 16600 130~80 Rl~ Of fiul~la Clsrk, Circuit Coast Tor~ = 267.27 ~ - St. Luci~ County ~ Fbrt Pisrc~,.Florida ~ £ ~ ~ ~ J+~ckaoavilla, Florida ~ F WITNE.SS my Fwnd at ~ . on fhis, ~ # ~ ~e 19tb a„~, of .19 ~ . SIGNAT TITLE _ Cbi~t, Bpecial Procadursa Section ; Ja Durant ~ Mr0~6 6Atfioob of oKioir wM~orit~d by low to fotc~ ~irAo~rl~dyn~M~ ta net Mwrid b th~ voltdity of this dooum~tk. G.GIYI 26~119, C.f. t9sat. ~1 ~ + V pb BOOM PAGf ~ART 3-Te bi oad tor naa+din~ pv~pos~s _ _ . ; . _ , .~~~3=~ ~ _ ~ _