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IN THB COUNTY JUDGT'S COURT YN
AND FOB INDIAN ItIVSR COUNTY, FLOAIDA
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N0. 2812 • '
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IN R$: $STAT$ OF JOHI~i L. GRAVTS, Deceased ~ ~
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RTsC$IPT F08 INHSRYTANCT AND Ts3TATTs TAX `'~'1~•~ ~
. FILED ANp REC4RDED THIS __J_~ _ DAY
~ OF _ _ ~ _ A.O. 19 ~1_~--
MILES B. MAhK 11
. • C~UYTY 1UCGE .
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INDIAN RIYER C~UNIY~ F10RIDA
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~ } nim 19T. a14A
' - RECEIPT FOR INHERITANCE AND ESTATE TAX RAY B. GItBBN. c.~o~..u.r
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~,~y? o~ STATE OF FLORIDA
' v° ~ TALLAHASSEE p E. T.
N. 14 0 u 2
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` ~ ~'ol~n ~nave.a Deceaeed
~ ~u~u~~,ta ~l. nav~ ~
~ 'rn
~ I/eno Beach, ,}.Lauda _ oh.c. a, n an v~r.
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~ 77G~.tli.~lLCJ'C Date of Deat6t _ Une 2~~ j/ 62
~ 1, RAY E. GREEN, Comptroller of the State of Florida, do hereby certify that I am the ofEicer oE said State having cvstody and
control of the records perteining to the assessment and eollection of inheritance and estate ta~c payable to it; that there has be~~ filed
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with me a~vom retum for estate tu in the mauer of above namod F.state and that the amount of tas asiested by the State of Fbrida
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~ agatnat s4id Estate wat
~ ~.cnh,teen antl / 100 uoupn c t i8. ' ~
~ I(w hcr ccKtlfy th~t ths followlnQ pqm~enb lww boon made la fuU ~rttlaiwnt of ths e~cs tu aa~u~ed `
~ apio~t afd F.~atei
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~ Sep~.tembe~. 20, ~963 $~8.35 Tax .in 3u.l.L ~
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~ ~ It is furtber certified that no refund of wch tax nor aay portion thereof has bcea authorized and that no claim for rdund thercof
Is pending. . `1 ~1 :
za FXSG'UTED in q~,adrnplicate under my hand aad seal ti~ the ~ ~•t!t ~y of T1LCl~Gli1~ , A. D. 19 6`~ ,
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(SEAL) • ' .
comptrolkr che state of Florkla.
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