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Home My WebLink About0362 , _ _ _ . _ _ . _ _ , - . - - , s ~ . . ~ _ . ~ . ~ . - . .,.-~n - ~-..--f S~ ~ ` ~ - j_ . _ ~ . ~ ~~g oewmwer? or ~~wsu~r ~v~uE s~ F~. vp~o.e+ u. ~r aoa~ oto. - ~ • (REV. 1-70) . ~ ~ ~ ~ ~ ; > SERW. i~ ' • ; ~ ~ i ~ ha'ab~r crtifl? Awt os b Ih~ fdbwi~Md io~qfo~ ~ nquineaw~s of S~Clion _ ; 6~Sla~ Inamd RaMeiw~ Ccd~, have b~a~ so~IGsfisd wilh rap~ct tc i!~ bws enu- - ~ m~a1d y~loMV, to~edwr widi oN statul~ot~r addiio~s pno~i~d b~r Seciion 63Zi; ad ~ ii~pt ~e t~sn for wch lmaes and slahrloe~r odddions has N»r~eb~? b~ai nlw~d. Th~ ths~e vnher+e nolio~ iNsn~ot 1mc ben vr~ fiisd -ap i ~~~r~ 23~ , 19~ i~ her+~r aulhori~sd a~nab nol~ior, _ ~ on his books b sl~o~w N~s relsoss of said~ ~n. iiaofar a 1hs ~ien nkrhs b Nr foNcw~- ~i ~ ~ ~ . ..j- j NAME OF UXPy1YBt ~ ~ ~ - - ~ RESIDH~GE • ~ i ~ - - i ~ ; - - . . t~~1D BALMKE ? I~ID OF TI1X TAX PERIOD HJDED ~ AS~MEM OiATE DB~fi1PY~IG t~IVABHt OF- ~~MENT I b~ k~ a~ a~ , , . i ~~M a.w~,. m•,~M~ ~ s~ ~M t~ ~ ? E ' ~ 1 ~ ~ ~ . ~ I ~ { i ~ ~ • i ~ ~t ~ . TOULL : ~ ' ~ ~ ~ ~ ~ ' ~ 3 WITNESS' nry hand o1 Ji010f~111~ s~~'3dt . on 1his, ++~e 5~ dav of ~ , ~ 9 ~ s~~ru?n~rtE ~ J~at CiL~t b~r low b tab aduwwldpaw~lt ic not w~nlial b fh~ vddiy of No1io~ of Fadrd Tmc Wa G.CJ~A. 2 9, U. 1 51, 125.) ~1AtT 3-Ti 6~ w~d h~ no~~ N~M~« ~ r~~~.~ ~ - - _ _ _ _ ~ ~ ~ _ . .