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HomeMy WebLinkAbout2407 I C~ - - - Fo~ Ka ~ U. S. TREI15lJRV DEPARTMENT - ~NrERtu?~ aEvENUE sEevKE F« Qp~ewl Us~ B~ R~caI.M ON.c~ IREv, 6-671 - t CERTIEKATE OE REtEASE Of FEDERAI TAX l~N = ~E~ ~N~ R ! DISTRICT SERIAL NO. - ~E ~ _ i Jackaoavill~, ~lorida ZOSZ41 D-190 ~-1495 " O~ERt C~a ~ RECORO YERt/!EO ' ~ . ; t h•r•br c•r~iir ~hor os ~o ~h. followiny-no:~ mxpr•. th~ rNuirilM~ts oi S~tNon i 63~5(a)t Int~~nol R~v~nw Cod~, hav~ b~~n sOtis(i~d witb nsp~et te th~ tmc~s ~nu- ~ ~ m~roted ~alow, to9~th~~ witl~ oll statutpy o~itions p~orid~d br S~cfion 6321; qnd 4~~ i flwt tl~~.li~a Fw sueh toa~s and stotvtory s~lifiana hos thinbr be~o r~l~os~d. 7h~ " ~ p~r •of•#~ur in th~ offic• wh~n eotie~ o~ iriN~nql r~vfnw ta~ li~n wa~ iil~d_on = . ~ f ~~h `~t , iS~~;is Mr~br outl~oris k• eoa~la, ~ on 6is ~eeks f~ show t6e r~i~ose of soid 'ifin. insofor os tht ti rekt~s to-~M ` fotlwviw~ to:~s. ' ,.e. _ i - j NAME OF XPAYER ` a_ ` Clar~ac~ Parrish . . ; ~ ~ ~ ~ RESIDENCE • ~l ~si ~OIi1't ~ rt Pi~rc~ Florida _ _ ' CI.ASS OF TAX ~ • ~ UNPA10 BAIANCE ' (Tox R~turn Form No.) PERIOD ENDE~ #SSESSMENT DATE (DENTIFYING NUMBER OF ASSESSMENT , (o) (b) (c) (d~ 1040 12/31/68 5/23<69 2b4 34 9791 340.47 ~ ; E t ~ ~ ~ ~ ~ ~ ~ , ~ - ~ _ ~ ~ - ~ PLACE OF FILING ~ Cl~rk C~ZCt11t COUlt TOTAL i ~0•47 ~ • ~ St. Luci~ Oouatp ~ £ ~ ~ ~ ~ WITNESS my hand ot 1ir3c~nnvi ly Flnrid~ , on this,. ~ ths 2S~loy of ~3? ,19 ~1 ~ ~ : ~ SfGNATURE TITLE • ~ v.stwa T,.vis ~~,(~,~,,,,~..x ecein~ c~s~t, sp.cisl Ys~oc.dur.a satf . ~ (NOTE: G.~iKe~t~ ~f dl7e~r eu~Iwi:~A by lew ~o tok~ ec4ne..l~dow~ma is ne~ ~~~~ntiol te tlw raliditr et NWie~ ~f F~1~?el Tea ~i~~ G.C.IA. ~ =bli9. C.B. 19SOS1. 125.) ~ . ~ 1'ART 3-To b~ us~d for ncordin~ pwpos~s ~ _ , - - . _ ~