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- - . _ - _ - - - - - - - - ' ~ - _ . ~~OGA . ~ va~ - i ~g, o~rr,~rrt oF n~ n~asur-w~u eEV~ue s~ncE Fo. opio~ol w. y e.owdi~q oAic. ; (REY. 1•70) C~INCAI~ ~ RBEAfE Qf ~At TAX I~11 , ! ~~STRICT SERIAt I~dNrIBER , ~ F , . ~ ~ ! h~+eb~r oMiify Nwt os lo the folbwin~wm~, taxptty~er ths nquirem~Ms af Ssclion . . ~ 63Z5(ob Int~mal IOevww~ tod~, haw bNn ~oid'Md: with nsp~d to the toxes ~u- . " 1 mKa+ed `t~law. lo~Ni~ with dl sfatu~o~r ~ ad~io~s b~? Section 6321 j and ~ Hwt 1M ti~n fot wd~ ic~oss aod sbhrlo~ odd~iia~s ~tl~~b~? bNn releossd. 1~ ~ pi.opsr olRcer in ti» ollios wMn notio~< of tiiNrnd r~u~ tax 1'Nn was filed Qn ~ CtR~' t ~ ~_Lnua at1~ , 19 `~b$;~_Mrrby ouNarizsd fo ~iaks 1fE1t~fR0 I a~ his books to sho~w ~hs ~e of soid il~tbfar Qs fhe lien rolaRes b th~~ ; i tmat ' ~ ; ?w?r~ oF wcw?Yet 20~1053 ~curcts ~iect? . - ' 101 zoa~i svenus ; ~ ~ . Fort Pi~rca, lrlorida 33450 ; I _ ~ . UI~A~ BALMJCE ; qND OF LU( UX PERIOD ENDEO /15SESSMB~T DATE IDENTIFYING NUMBHt OF ASSESSMEM ; Io) rol kl Wl tel - ~ 1040 12/31/67 5/24/68 263 32 9350 700.00 I! 2290 68-06 . 8/2l68 5969519760001-8 153.64 ; . 1 I . I I t { i . ~ 1 ~ 1 f 1 1 ~ ~ ~ PUCE OF HUNG ~ ~ Clerk, Circuit Court St. Iuci~ County TOTAL i 853.64 Fort Pi~rce, Plorida ' vv~Tt~ESS m~? hand ot Jacksonville, Florida , on ?his, ~e 13th ~r of I~ove~ber ~ 9 70 . ; s~cw?n~E nnE Jack aat Chief, Sp~cial Proc~durss 8taff (NOtE: of oR'icu authorized by law ro take ocknowledgmenFs is rw1 essentid ro th~ v~~~ d lasi+ G.C.M 26~19, G . 1950-S1, 125.) ~FM~~ ~ PART 3-To b~ vs~d for nee~dkq PvrpoMS _ pb -..~:J - ' ' 2 ~'S! '~1 .F~.c+.~_ ~~y . .