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Home My WebLink About0461 . l : ~ ; • ~ ~ ; U. S TREASIlRY OWARTMEM - INTERNAI REVENUE SERVKE ' ~ ht y' M~Ai/ OAIe~ ~ (REV 1-66) Vr ~Q~• T~ u~ ! p~R _ ~ t~eErt - i 0 AND AEppttOE~ ; nsrli~ 1714$1 B-~74 P•198 =~~~E COUMTr fu1. - ~ - . dCEit PO+T~AS i I h«~by cen~fN tiwt os ~~^a-~~ 1O71P°1'~ ~~'iranMb of Ssction 6325~u), CLERK CIRCUIT COUIlT'~ ' Int~.no1 Rw+nue Cod~, bvt b~^ sofisfied with e~spw b tM wxes erxxneroted bsiow. togetMr RECORD VERirt~p,~„~~ f j w~th oll stotufory addi}io~s Provldd bY Ssctan 6321 ~ and that th~ li~n fw wd~ ta~c~s ond j stoturory additioes has thereby bMn niws~d. iM p?opK officsr in ths offia wMn not;ce of ~ M~ ~ fi~~ o~ Octobar 21st 19 68_, ~ ~ ovthwiz~d to mofu nwotion on his books w tFaw tM nlws~ of soW li~t?, inwfar os the li~n j a 2%54493 NAME OF TAXPAYEIt ~ ; ~aaa s. s~ L. ~ 254493 ~ ~ ! 'hww~+s Llar l~r.~ lrart ~wd~, ~t~. !!~w . i ~ j UI?SS OF T/1X l~PA1D MLMlCE ; (imc RM~wn fonn No.) PERIOD H~ ASSBS~AB~I~ QATE IDENi1FY1NG MIMBER OF AS5E55MB~R ~ a~ ta ~ wj ~ , ; ~ ; . ! ; 1~0~ !"~~-o~.~ li3.oo ~ ~ ' - _ , ~ ' ~ i ~ i , I - i ~ . ~ i ~ - ~ j I ~ ~ vu~ vF puric Oss~ii ~ ~ ~ M~ TOTAL i. ~~I ~ I n.~~ - ~ ' Jacksonville, Florida WITNESS my hand at on this, ` ~e 26th da of Dec~ber 19 72 Y 0~ SIGNATURE TITLE .IG~~I' j~Ci"~ - ~ Ja rant Chief, Special Procedures Staff Gnif~coh of offion a~tborized by low ro!ake odcnowldprnenb it rwf essentiol w ths wltd~ty of this docurnent. G.C.M. 2M t 9. Cl~. iqso-t, .ss.1 pb PART 3--To be used for ncording purposes ~ ~!.`~~..i- ' .'T i : „~~r f `ri~~.~sd i4~..•.. 2d~ -v- rL'. ~K : _ `i! Y ]°~.Sy' ~ ~ V~ a~(_~'.9 ~ ~r 1 -dj , . y.. .~.ct'.~w,~~.' , `~~~i"-~'.'..~-+ . - -...n. .