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HomeMy WebLinkAbout0628 . • F~~ K~ U. S TREASl1RY OEiARTMEM . INTEaNAI ~EVFMI[ SE~VKE hr A~el~I M Ar M~~ W11~~ fREV. i'bb) ~ OF ~~a+~wn~ U~ asTRict s~u~t ~eER `F11E0 1E ~I?O~I~I~~ t~pc - J~okw~dl~as f'Lr3~ 175~2't B276 ~~2 ~~ER~t ~ t»..b,, a.•~~Er thof os 1o Mw followinq.noemd toapoy~r Ihc nquir~nh of S~ction 63?S(cl. RECORO rGtK~E~ Inkrnol RM++w cod~. hov~ b~en sohsRd with iespw lo th~ roxes twurn~w»d blow. top~r~»r ~ w~tl~ al! itonr+ory ~Nons povtdd by S~ction 6341; ond thot ttr lien fw wch ta:~s ond a~~';' stoturory oddmom hw M+a~by b~~ rd~os~d. ih~ Vrop~ officw i~ tM offia wMr~ eat~u o! intwnd rw~nw tox liin wos fil~d ee~~~3r^~~-Qi . 19~, is Mr~by 'C~~~ a~thorind ro moks nworion on hb boo4s w ~lww th~ rdws~ of aoid li~n, insofor as 1FM fi~n hiot~t b th~ MGowirp faus. NAME OF TAXPAYER ~ a. ~t ~ rRaNr.s~ ~?i.LOv o~ ~ ~ ~ 437 irr C~rt, lret tl~ew, li~~li-~ . ~ - f i ' CLAS6 Of T/1X ~ !~l~1lO ~At/1NCE j (Ta: RMwn fam No.~ PERIOD ENOED ASSBSAi1BiT QJ1TE IDErITItYiNG MJMdER Of A5565MB~R a~ cw id wi w L~1p I2-)L-66 '~.li-it 1~i/~•'~ ~.1L ~ 1a-3~7 S-1T•i~ ~;~-7~i 1~6.i~ ' ~ of pur+~ ~ ~ ~ TOfAI ; ' lt. !!+¦e+~~ !'3s• WITNESS my hand at_ Jz ~ f:s~r• Ie ,=1~ri.~=a or~ this, the ' , f R doy of ;i_, ~ , 19- ~ ~ ~ ~(.iV ~ SIGNA E TITLE n L _ - ~ ~.n ~ • l: , ,'t -s f MORE: C.rnficah of off~~cw an?wnnd by bw ro rob «knowt.dymenh i• not ~swnrid ~o t?.~ va~:d,ry oi th~f docurrKrr. G.C.1Yl 26419, C.e. I950-i, t25.~ S$ 'ART 3-..To b~ us~d for r~cording pur~oses