The URL can be used to link to this page

Home My WebLink About0149 _ _ . - - - , _ _ . ~ , - ~ ~ ( V u. s. T~EI?sua~r ot~P~?RrM9~R : wre.r~u e~va+~rE sEewce : w a~l..+ r.~iw aN.. 1 1`w~ iN Ar~n~~tt ~~t (REV. 1-46) ~~iATE v~' w~iiiw~+~ ~ T+M~ UE~ _ ( °+snaa l~,~ s~n~+t N~!""°c~ - Pi , 0 E ~pV~jC'1`~~!'.~ UC! VERIFtED ~ Iw~,b„ ai+~k +hot a. a Nn tdlo~wNp-na~nd ~r~?.N» ~w~+&.e,n+1s o1 swion 63ZS1c1, f•~ F CQiiQ Mwrnol I~ew Ccd4 Iw~ bMn wnsfNd with n~p~d to'fF~1 wx~s ~rwm~eohd bdow. top~thr? witb oq tlmvary od~Nons W'o+ikMd b1/ S~d'a~ biZ 1 j b.~d fhat tht li«? for wd~ taxn ond ~ ~ i ~td~AOry additions 11at M~nbll bMn nbo~d. lh~ pop~? ~11kow N~ tM olfiar vrlw~ eotc~ ~ Z in+~rnd a~c U~n ±ros fibd on J~~~ . 19 ,~9 ia h.r~6y ~ «~a a n+olu. ~aloiion on w. book. a.noM? M+. nl~o~. a.aia li~n. ~ao~O. a. ~n. lin ~ P~1 AS .do~.. a ~h. to+bw4w ~mca. ERK CIRCUtT` CAt~T~ W1ME Of TAXPAIf~ _ ~ , 5~~~~:. _ ; - ' RBIDB~ICE Ot ll/1iCE Of lt~5 ti~ ~ C1AS6 CF TAX t~l~11D WANCE (Tm~ Mu~n fonn No.) PERIOD [P1D~ ASbB6AABrT QAiE 106~RIF1fIN1a MIM~It Of /1~SMBd lol (bl W k0 Ui ~ ~ ~~W ~ E r - ~ i ~ i - 1 ~ llA~ Of fiLM13 ~ ~ ~ TOTAL = ~ WITNBSS my hand at Jicltaoavills, llotida , on this, ~ 3 ~4i 7 the~ day of ~Ps'il ~ ~q 69. ' , SiGNATWlE - TITLE /~~~v~` s ~P~~l lroa~dur~i f~CtiOa R10Rb ~fko~ ef dAar ~e~1s~d b~r Iow a ab aelu~owl~ a no~ ~fd a th~ voi~d+ty of ttu~ dowa+w+t. a.C.lYI. Zeat~, G. ; ~9~.,. ~171 ~ ~49 ` ~AR't a--T. b. ~d ~o-? na~~ Mnpo~.s _ ~ _ ~ ~ ~.-~;Y:; - ' - ~ _ . .