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fwss iN U. S. TREASURY OHARTMR~If - rfEwAt IEVENUE SEN~CE' hr q~1Nw1 E~ ~}w~ O/Iw
66
~ FEDERAL TAX UEIi
CEp?iFiC11TE OF RELEASE O
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1 ~ ECOROEO
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CORD VERIFIED
hsrsb~y a.rtifp that as ,o th. followino-non»a +mipop.r.M+. nqu:.«~wnts of s«tion ba2sbl. :
ig2403.
Ints+nal itsvptw Code. hove bwn w>sfiad with rssp~ct b dM texas awtmrobd blow. togatFN- ~
with au gmutatY additions Provided by Section 63411 and thot ti,. Ibe fw wch taus and
Tiw Propw oHiar in tiw offiw wham no~of
bosh rd.aa.d
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b
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y
an
os
staA,wrir additions
intMnd rworK,o tax Urn wos filed o~ F<hitat z 17 , 19 69 • b harobtr ~~
oullwrisd to moles ttototian on hb books b ahow tM nlooso of sotd Iiat, uwofor as tin lien . OITRA$
rdoba to th. foliowinp texas. - OG~R OURT
RK CIRCUIT C
NAME Of TAXPA1fQ
~~ ~~~
RESiDBdCE OR RACE OF lUSIN1:55
~1
QASS OF TAX ~ • UNTAID dAlANC4:
(Tax UsRnn form No.) PERIOD Ei4DED ASSE55ilAEt~lT DiA7E IOH~ITIPYINt3 NUMEtER GF /kS5BSM9~
bl (bl Id k4 tN
..
PtJ1CE OF HUNG ~ ~S ~i
~~ C~ TOTAL : ~ ~a
n. l~l~lwa ~ir'~
WITNESS my hand at Jacksonville, Florida txt thla,
~ 22nd day cf August 19 69
SIGNATURE TITLE
Jack Durant ief, Spacial Procedures Section
(NOTE tlsrtikwN of offfar autlwtizd by low to tob odcrwwbdpmsttts b not asssntial b tfw validity of this docurwr. G.CM. 26419, C4
1950-1, 145.1 M' j d
PART s-To a. utied for recording ~K 1 ~9 ~17f 4
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