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:f - "~•Mr' T.'.ti.`.'"'._' _ " '-i:. t.. . R . ~ . ' ' ~ . . . . 34~4'1'~ - Y~~ - . . ~ - . L _ ~r . ~ ~ F.n. sbs u. s ntE,~.wm oep . ~rrrE~u ~evMllE .~E s r., w++~..~ ~r an.. ~ t~v .-es? CERTIFlCJIT~ OF OF FEDERAL TI~XX l~QI i asTr~cr ~ ~ . ~~~UCI~;~~~TY ` ' J~~~ 167408 " Bk 172 P 128 ti4CER PQITMs 'f a~tR+c ci~cUl~ CoWt1 i i ne..b~? amty thar as b d+. rollow?np-?nrrwa axpat~e. N,. na~rlr«?+~nb of s~.nion a3sstv~, ~ECOa9 vER!~If b ~ Intirnol R~tMr~ Cod~. 1wv~ b~en sotitfi~d with r~'stt to th~ faxa ~xMeofd bdow, top~thM , wn~. en ~tohitw~? naatnau provia.d by s.ctia, a~lt, «~d Nar th. ~l~ io. «,d~+ raz~s ona ~'6 ~ stan~fonr e~dditiotp hos th~sbt~ b~sn ntws~d. if» propr offiosr k~ ttN o~ik~ wfwrr notkr of ~ ior.moi ~r. ~ t~ wos ei.a d• Plav 24 „ 19~_, N Mr~b~y I authortzad to rrake nowNon on h1s books to sbow ~ rs~eos~ of ald tNry k»ofw os th~ li~n relat~s to th~ followinp tmces. . NMAE OF T/1XPAYHt ~`3V`~~L) ; lM~N lfi!'iai~ E _ - ~ ; ae~oe~ oR ~ oF eus~r~ess i ~loui~s j ~ac 3~c1 ' 10Nri l~a~w, Ti~rl~i~ ~ ~ - j CL/~56 OF TAX _ tMr/11~ l{AIMIC~ _ ~ (imc i0ehxn Fwm No.l PfRlOD BrDED ASSFSSMB~1~ QAiE 10f3~1fIFYING P~1M~ Of I~S6~SAAB~Q . , fal lb1 ld {d1 ; ~ar~ ~.~..d~ ~f-5~-~! s ~t,;o ~ ~ ~t 3~».~ Lo~ 3~2~-3~.66 21-i7-67 =b3-56-~t! 3~.1~L ~ ; ~ ~ ; ; ~ , r~wcE oF pu~ 3t. Lwl~ Oraitt~ ro~~ =~~6.~ i l+~rt li~N, ?1+~si~1? ~ ; WITNESSS my hond c~t Jacksonville, Florida ; ~e 25th ~ot September 14 76 , ~oo~ z~s ~E 4~ oisr~ncr art~croa oF iHr~ut rt~ve~n~ er ~ ~ tm,E _ Chief, Special Charles 0. DeWitt ck rant Procedurea Staff MCn'& G.ntloot~ af offtoK outl+oriz.d by law ro tab b ~of ~nMd b th~ wi?dNy d thM doan~M G.GIY~ ~6419. Ca ~ 1950-1. 1ZS.) - - - - - ` t