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- y~/ ,,2~~ 7~Q ~ Fam ~68 o~+r oF nEwsuer--r~nEau~ ~ve~~ sa1~cE ro? op~w~d 1b. b R.oo~bw o~a ~a~v. tao~ C~Ti1UTE ~RBEASE 0~ ~Al TAX t~! - : as~cr _ s~auu r~ _ `3 J11C~OlAIILIE . ` OR Hc 194 Pa6e 2~89 ~ , 1 hsnebr osrtif~r that as b ths fol{awin~nomd. toxparx the roquiran~nfs of Ssctan ~ ~ - s~• II~IE CO~~ ' 6325(a~, 1~nwl .Revenus Code, haw 6~so iolis8sd with mspsct M the loxss eau- OCER "POttR~~ . f rr~ated belaw. ~togs~l~ with OII statu~ory add~tio~s~v~dsd b~r Sschon 6321 j and Ct~1~ CI~CWT Cp~ytT ~ ~ that ihe Ga~ for wcb i~moss and sfoh?lory add~lio~K hos il~xeby been nlsa~sd. Th~ *E~ORp'YERIFIEO- ; prq~~~ the ofl'ios wfiere eoh9a-Tl. ~ a~~~to make nototion ~ ~ ~ 11 I9 PH'7Z ~~~b~?~~~md~.~~~i~~a~»~~ . ~o _ . ' r,,~ o~ vx~?~ ~ ~ ~ 2~2'?"'?~+Q3 ~ C~ail ~ ~i~anita I~lli~a . i , r~~oB~ce ~ . ~ . ~ Aopts l, Hooc 171 ~ Fort Pia~e Flor3da - ~ UtrPAID e~All1NCE ! qND OF UX UX PERIOD END~ 11SSE5SMH~(f ~ATE IDENTIFYING NUMBER OF ASSESSIIAEM - ~ tal rol kl I~l l~l ; ' ~ lQ4o 12-31-66 2-28.~9 4o4~6a 5263.64 E ; 1040 12-31-b7 6•]1~.68 4d;-a6~33 24~..~ E ~;Y ~ I Y ~ ,.1`~ ~ l~.. ~t• 4:'' ~ . ~ ~s?cE oF ~ur~c 5 C1ert, Cieaui~ Cov~t ~ St. ?.nale County ~ TOTAL f5~.66 ~ ~ Fort Pleros~ Flor~+da WITNESS my hand at l~iest Pals Beeuch, F'l~on'l.da , on tha, t Y ~ 218t doy of ~mb , 19 ~ ~ ~E 11T1E ~ + C. t3raves Oroup Supervieoz : t (NOTE: Certifica~e of ofBcer authwized br bw to roke ackrwwfedgments is nof essentid ro ihs vdid~r of Notiae of federol Tox lien G.C.M. 26~19, C.B. 1950-51, 125.) ~ PART 3-To b~ us~d for nw~i'in~ pwpos~s . ` - - ' - ~ .