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~.:p~ _ _ "3y . . . . _ . _ . s ~ . 'e . - . '__..Y .j_~ ~ . - ~ ~ , ' - .~,~r . frjn~ ~M• U. S. TREASl1Rl ~?EPARTMENT - q1~fR(L[irRE1?ENU6 I{ERVKE. ' Fw Qr.~! fls~ A RKwIp ON~ci ta ~.4e~L. .CERTKitATE OF IEASE ~ AL TAX:~~N~ 's. ~ i~ ~ ~.Ep /~ND `F~ OROEG ~ oissR~T ~ seR~~~ t~o. = 83122 ;,r ~ X. LuCtE CO • RU: ~ :-0.t~ iT_9 s 2~?6 : • ~ R~CORD uE_ FrED ; r y e ~s t followinyyp yoxpap~r ti+e ~~quirfirifpts o1 S~etiM~ ~g~~• 6~5(a), ,Int~mel R~wnve Cod~ hev~ b~~n s ti~d _with i~s et to 11~ rox~s en~ , a~tot~A '~Icw, to~tMr with oll sMtuto~ ad~oeariprovid~d br Seetion 63~Z1; 0~~0 p~ ~ ,;Y ~ thit tM ~sn for suel~ tox~s and stotutery~ioddffii~s f~e"s rM~ebr b..o rilwa~ld: T1N ~ f^ ir oKie~r in th~ eHitt wMt~ ewtw f i~~mottrwv~nw tox li~n,was filed ~'a ~ ,°`~°5~a~bar 17 • ~ h.r~br aV~hal:.a ro ~iwk. ~obt~~ t. : ~~sl~i=~booKs to ~thow tM.tilws~ of so~d li~l; iosbfo? as th~ lisn,t~bt~r to tf~ j R~rE~~~TRAS ~ ~ ~ C 'ERK C~R~VIT:COURT ~ ~ ~ Fofler.in~ox.:. . NAJAE F TA AVER ~ . '''i ~ ° " _ ~ _ F{ ' . ; ' . . ~ ~ • • • , _ _ , . , { ~ . , . ~ RE51D NCE ~ , i ' : ~ ~ ~ ~ i - : ~ - , - ~ t a_.r ;F ~ c,. C SS OF TAX . : ; ~ ~ = = . `zUNPA1D BAII~NCE i (Tox ttwn fo~s No.) PERIOD ENOED ` ASSESffiiiAENT DATE Q- tDFNTIRYING'NUMBEi~ ~ OF ASS"sSSt~AENI` . j _ (a~ lb~ (c) • (d) . 1~) ( , ~ ~ ~ ~ ~ ~ ! . - _ ~ - ~ ! - " ! . - . PLACE OF FILlN!'s - ~ I~ ~ TOtAI f ~ - wITNESS n+y hmd dt Jacksomills, Florida on this,. the 6th .~y of Jttly ~ jq 70 ~ SIGNATU E TITLE Jaak Aurtiat Chie! S eial Proadur~s Ststf " E: C~tlf{~~ ~f effie~r ~vtlwis~~ br Iwr te t~fa_etkrabrl~n~s ts ~~ss~wtiql to tM v~li~itp ~f N~tic~ d FeJ~~! T~s Li.n G.C~1. 19, C.s. 14SdS1. 1~.5.) 8~~~~ Yfl rART ~--Te b~ ~sed fer ncerdin~ PwPesas . , _ _ _ . ~ . _ _ _ - ; _ ; _ .a ~ . y - _ _ - - - _ .~~~~.r . - -