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HomeMy WebLinkAbout1775 . - • . , ~ s...::s.~-~ _ . _ ' ^ , ~ - J - - ~ ~ _ ~.w; ~ .y y ~ '!..^3:. s~, ' ~ ~,".r`~_~"~ f....1~~i~ ••1b~J'~ .tir ~ i[ ' ~ `y~ • , ~ . ' f~,~, ~.,1 U. S. TREI?SWtY DEPARTI~NT - u~rER~u~ REV~NUE {~~itvtcE ~ ~,F« qe.owl v.. e~ R««J.yO~r~ - tR~f. 9~67~ CERTI~t~ATE OF RElEASE 0~ fE9ERAl ~AX~IEM t ~ • OISTR . T _ _ ' SERUI ~10. - - ~ 18 7~6~ H1c 161 ~ 29Q ~ ~D-AND R _p - • . ~_.h..•br c..~ifr ~iwt es re N~ toUo«~r~y-ao~ fo:~.r tM nquiren~ts oi ~ctirn _ St. c~e cv • 63'1S(o). Mt~nal R~wnw Codo. how b~in s4i"i#fia~l=witb r~spre~ to iM roxes e~u• R~C~~ ° ~ro»d ~lcw, toq~th~r witi~ oll statutory' ad~~tions:`povidtd br S~ctton 632t; oo~ ; . % th~jt tM ~'en fw sueh tex~s ond stotutory~ bdditions ho`s thert6r b~te r~bas~d: TfM ' , ; i propK oNteK i~ 1M effiat rhKt no'1ce-of int~rnel:r~waw tox (i~n:wos fit~d en O,UL _r ~ ~,Q i se q`: y' L he.~~r au~hwi:~d to wob nototiai t : ± eq: I~is books to 11how th~ rilws~ of said li~; in~o~or as tM li~n ~~kt~: to tli~ follewin~.lox~s. " j-,~ - ' S'~_ _ ~ ~ ROaf R PQITt~ NAYE OF TA.,,PAYER , ~ : CLERK C~i2CUlT R7; , ~ - " i ~ ~ _ ~ . ~ - . , o~ ~ - ~Z • . - - - . i. _ _ . RESID NCE~ .3 - . : . ; , - _ . ~ , ~ ; ~ ~ ~ ~~"'4~~ . ' ~ - ° i Ct~ASS OF TAI~ ~ , , 'UNPAip BALANC (To~c t~~twn Fwu~ No.)• PER10D ENDE~ ` ASSESSMENT ~ATE IDENTI~YING NUblBEt~ ` OF ASS:SSMENI'~ u ' (a) lbl (c) (A) 1~) ~ _ _ ~ ~ . - • ? ~ ~ _ ~ . _ z - f ~ _ • ' PLACE OF FI~ING • . . ~ ~ ~ TOTAL s - ~ ; ~ ' # ~ 7 . ~ Jackaom?ille F1oMda , ; : wirNESS h~,a a ~ ~ ; i - ~ the ~h day of J~- ,19 ?0 • ~ SICrNATURE TIT LE ~ ~ ~TYCti IIl1T~it? ~ C+~t~ ~C• FP'OC• MOTE: Grtifie~a d e~r ~rtl»ris~~ ?r s to roki. ~eknw.~s •sasati~~ihr ~f NMic~ ~1 F~.~t Te~ ~i ~n G.C.M. . ?4419, C.B. 19SOS 1 • • ~ _ s1d ~ ~ART 3-Te b~ vs~d'fer nc~ndln~ ~rpes~: