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HomeMy WebLinkAbout0434 _ , , - - _ - - ~ 34f ~ _ _ . . _ _ . . ~ . _ _ , . . ~~1 v t /.n. bst , u. S. TRE/?SUl9l oQAICI'MB~1f . wrEe+iu I~YEMJE iEI~WCE R.r q~wl..d w a R.a~+.~ arte. ` (REV. ~-65) CERTIFlCATE Of RELFJISE Of FEDERAI. TAX UEN ~ - , asTa~cT se~ut, nuMee~ ~ ~ ' ~M~~~11~~ ~3~ I67755 OR 172 P 649 ~o ~ ~ . f ~ hsreby o.rrity thar a. +o ths fo~towinp•nam.d ta,q~oyer fh. ~qutr.mn,a of s.alw, a94sk~1, ~ ~ Int~mal Rev~nw Gotl~, ho~re besn satisAd wiM retMtt to t!~ tax~s ~rw~rwot~d b~low, top~fh~r ~4rifi~t I~f1~A~ ' w;rh oil itatvtory odditions prov~d~d by Sscrion 6921~ ond that th~ lt~n ior wd~ taxa and CLERK Cl~t'vil~T COYRZ~ ! uarurory ad.ist~ana ~ ttwrsbyr ~ r~ss3. Iko ~ off:~r k~ the offks wl+sre not~a ~ R~t~R011EQii1~0..~¦~ ~ in?e+rwl rrn~nw tox lis~ wos filed o~ JV~ 6~ 19~_, b h~r~by i~ ~~~~6 ( authoriz~d to moks norotioe on his book~ b alww ~ nleot~ of wid IMq, Insofor w th~ INn ~ .e~a~. 34~4`71 I NMAE OF TAXPAYgt t ~~S y~ ~ ~ R651DH+ICE OR PL/1CF dU511JE.5S i tt. 3, ~ot !re! !'l~a+t~~ ~L~e'!~s • 3~0 ~ CLASS OF T/1X IN~WAID MI/J~ICF , Rox R~turn Fortn No.) PERIaD BdOED /~SSESSAAB~ Du0.TE IOErlTIFYUJC~~ MJM86t Of ASSBSMB~lf I l01 lW ld 1~ Id ~ ~ i i j 3r0iro 3~.31~•63 ZL,iT-6T t66~.7'~-TS'!f~ =13•=i ; 3oyo L~-3~3 11-3p-6t ~i6.T1~TS'~ '67.~ ~ 10~ 1t-31~6~6 1?~7?a•~iT 266~•1'l~-T~i? ~.i0 ; ~ , ~ ~ - i ~ ~ ~ ; ptac~ oF put~c ~ T~e~ ti~s~s l3~!/~ ~N. s 6Tl.~ ~ ~ ~ ~ WITNESS my hcnd at Jackaonville, Plorids ~~~s~ the 25th of Sept~ber ~ ~q76 $ORK PA~E t oisrr~cr aa6croaoF i~ ~ mtt Chief, Specia~ 0 DeWitt c anC Procedures Staff M~'~6 Gmflool~ of offica avtF~o.r~d bp law ro rak~ b nor «wm~ai _ to t!~ volkAry d thb doc+nnwr. G.CM. Z6419. G. 1950.1 _ 1 Z5_1