HomeMy WebLinkAbout1384 . %~u~,.,~351-
FoA. 66e U. S. TREASl1RY DEPARTNENT - iNtERw?~ eEVEnvE SERwCE F.. ~a..1 U,~ E~ R.c.d..~ ONK.
(REV. @-67) CERTIFICATE OF RELEASE 0~ fEpERAI TAX 11EN •
DISI . CT SERIAL NO. ~
` Florida .192643 -184 - ~ ~
, 1 h~r~by e~rtify thot os to th~ followiny-rwn~^loxpay~r th~ rpuir~nants of S~ctioi~
~ 6325(u),:Int~reol R~v~rtw Cod~, huv~ b~~e sQt,i#fi~d~with ~~sp~ct to th~ tox~s ~nu- J .
i n~oted ~ilow, toy~th~? with oU stotutory oddiRions provid~d by S~ction 6321; ogd ,i~~~ -
' that th~ li~n (or such w:~s ond statutorr od~t~ons hos thir~br been t~l~as~d. Tk. .~ERIt CiRCUiT QOiMT
ptop~r ofFi ~ th~ olfic~ wh~r~ notic~ of intirnol revenw rox li~n wos fil~d ae ~~p ~fl~~~~_
ApT~Y ~4th ,~~Q, ~~hby outhori:~d to moke nototion
i on his books to °;how tM nl~os~ of said li~o, insofor os tM lien fflOf~f to t~ ~'j~
~ F0~~01M1 ~~07(~i. ~ . ~ ~
NAME bF T/1~PAYER f~/~~~~.~
i Joha H. Sta~m, Jr. - Johnnq's Auto Rapair . -f. ~r~~ 1
! 3905 lsetz ar Rpad -~~~LZ'
; RESIDENCE
~ P. 0. Box 514 -
~ Fort pierce Florida =
i CLASS OF TAX• - . UNPA10 BALANCE
j (Tox Rttwn~Form No.) PERIOD ENDED ASSESSMENT DATE - I~ENTIFYING NUMBER OF ASSESSMENT
(o) (b) (c ) (d )
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; 941 9/30/69 4/3/70 S9 1220933 638.31
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i 941 .12/31/69 4/3/70 gl~.~Zg
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PLACE OF FlLING
~ ; Clerk, Circuit Cou=t 1 549.60
TOTAL S ~
~ . St. Luci~ CounCy
~ Ft. Pierce Florida ~
WiTNESS my hand at Jacksonville, Florida , on rhis,.
~e 13th~ af August ~ 70
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SIGNATURE TITLE
~~L :
Jack ant Chief, Special Procedurea Staff i
M07E: CNti cets of effic~r ou~hori:~d br la.. te tok~ xknowl~dpn~ms is •sa~nt;al to tlw volWity of Notlc~ d f~d~ral Twc Li~n G.Cid.
~.~9, C.B. 19SPS1. ~188 ~i38i _ pb .
PART 3--To b~ us~d for r~cordin~ purpos~s .
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