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HomeMy WebLinkAbout0884 ~ . ' .a ~~l. • . . • . .t~ . ~ . r , { ~ - ` ~ ^ ~ f~.w 6N U. S TREASURY DEPARTAiENT • ~p~EaNwt REVENUE sERv~EE ' fe. qM~o~.r tiu a R.wI.~ ON.c~ i (REV. &67?- CERTIi1CATE Oi REtEASE Of FE~ERA! T~~ l~N T~_ ; DIST T SERIAI NO. ! ~~~!~6~~~~ i 190732 B-183 „P-1~64 RO~E~t~~~ • ~ i 1 hu~by eNtify _~et os to tM follow~e9-nomeJ,loap~y~? tM nquiram~nts of S~crien ~R~IT 63Z5(o1, let~n+ol Rev~nw Cod~, I+ov~ b~~n setisfi~d witi~ •r~spec• to !M to:~s ~nv- ~ ~ w~?at~d btir.r, to9eths. wiel~ qll srotutory addi/~oes provid~d br S~etioe 6321; ond _ •Mt tht ~Cen fo~ such te;ts e~i stotuto~y oddij~ans las tM~ebr be~n ~~i~es~d. Th~ prop~~ aiiicer in the ofiice whNe notice of ietemol ~~v~~u~ Mx IiM wos fil~d pn N~gh 5th ~ Iq 70 - i~ M..br ou~ho.~:.d co .ak• nororien ' ' on his boolcs to show th~ r~leose of said li~i. insofo. oa tM li~n niat~s to t!r ° follow iey. to:~s . ,e - ` NAME OF TAXPAYER ~ M~ ~ . ~!'L !~M !1~l~i~r ; RESIOENCE ~ ~ ~ ~1 ~t CtASS OF TAX . UNPAID BA~ANCE ~ (Tox R~twn Foria No.) PERIOD ENDE~ ASSESSMENT DATE IDENTIFYlNG NUMBER OF ASSESSMIENT (o) ib) (c1 (d) (f) ~"~1'~ ~ fyi l~-~-6~ ~-~l-i~ • . ~I.,~! ~ ~ ~.~r ~-~s-~ • _ ~rr.4r ~ ~ ~ E . ~C t A ( ~ PLACE OF FlllNG ~ • ~ ~ TOTAL f ~ M~w~ ~ ~ ~ . wtTNESS n~r F~a,d a .tacksenviii~~ Flnrida, , on d,;s, ~ ~},e 29th doy of 1~sce~r ,19 70 ~ SIGNATURE TITLE ~ ~ (NOTE: Gnific~K ~ ~c~r ia•A br lo.. +o rek• ~ck~...l•Ayn~.rws ~s net ~ss~m~~l t~ ~M ..Iiliry ~l N.•~e• ~ N~1 T~ li~n G.GJ~I. } 26111, C.d. 195051. 1 . ~ ~ - d~ 189 ~ 88~ ~ IART 3-To b~ vs~d for rsterdl~ p~ryos~s ~ V - r, F~,~ _ ~ a,.~~..-~.~~ . . S