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HomeMy WebLinkAbout1491 + . _ ~ _ _ _ - - - . . - - v . _ ! - oEr~en~rt oF,~ n~?s~,e?-xrEe+K ro. ~pioaol u,. ~r R.aord-o OeGo. lr~t taol CQT~K'ATE OE RBEAfE Of ~EORAt IAX t~l ~ iuclc C4~Tr rL~ i DISTRICT ~ 1l8QEi1 POlt1Ut - a206 l149~ 238340 CIERK C4 =cu~r cou~r ~ i 1 ~ ~ ~ ~ f~~~,~~ ~ ~ ~w~K RECORJ Yf~[tf1E0 ~ I 6325(0): hdernal Rave~us Cods, havs besn ~afis~ad with rsspsci ro the tazes aw- ~ ~'~,a,~ - ~ai3 3wPM'~3 i p~pE~t~t11~a~F'ioe where nofio~ iMKnol revsoue taoc liso was filsd on ~ . 19~ a herrbfr auM~o~sed ro molo. ~olation I ~ ori ~ ro show 1he releass of sod lia~, n~sof~ as the lien m1aMs a tM fdlow~ ~~s - mQ I IVMAE OF TI~XPr1Y9t ~ i ; RE ; ~ ~ i ~ - UI~l1~ 8I1lMICE ' qt~ OF UX UX PERIOD END~ ASSESSMENT DATE W9~ti1FlfING NUMBER OF ASS~AAEM ! la) rol l~1 ; ~ ~ 1Q+Q I~M 3a•3i~~1 ~R72 4B ~l f 438.~1 ~ ~ E ; ~ ~ itf4a Sss~ 22¦3~-70 ~-0'i~'i~ 25B ~B t~~ 18.3b ~ ~ ~ ; ~ ` ru?cE of Flur~c ~ CL~C~ ~t ,C~Rt TOTAL s ,~.I~b ~ 9~.. L~3~ #3o~g? • WITNESS my hand at Jack~omille, Plorida . , on this, ~e Sth ~y of Auguat ~q 73 . SfGNATURE / T1TLE 4 Gk~ ~ Jack ant Chief . S ecial Procedurc~ Staff ~ (NOTE cate of officer outhorized by law to take ocknowledgmenls is no1 aser?tiol fo the vdidiy of Notice of Federd Tox Lien G.CM 26419, C.B. 1950-51, 125.) bec ~ Q~:RK 1~AG? PART 3-To be usod for rosordi~p PurposK , - ' ~ - ~ a ~ . ~ h ~ ~r~ ~ F;'," _