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Form l]sosdeet's First Natne smd ftiiddle Initial Oeadsnt's Lest Nsme
lftev. June 1977)
~ ~klfred A~ Chisholm
M'f~N11~ Ad11rsINN SAr1110A DeadNn's Social seurity NumCer Date of Dseth -
718-07-3619 December 24 1969
OaniaM et Titne a o.n++
_ Florida
Ihti~ed Ste~eS TO
Certiflcafie Dist;harging ~ NAB of ~ r- -1
PY $Ub~ ~ Arrucwstr
ADDRESS John B. Chisholm Pere. Rye
Tax ~ /N~.ew~. Strs~t, r p •
Y cnr p Post Office Box 128
i;P~";~ New Smyrna Beach, Florida 32069
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I certify that the estate tax for the estate of the decedent named above has been fully paid or otherwise provided for. This
certificate disdharges the property described below from tite_lien of the United States imposed by section 6324 of the Internal
Revenue Code.
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South 10 feet of Lot 5, all of Lots 6 and 7, Block B, Resul~divieion
of_Boulevard Development Co., as per Plat in Plat Book 3, Page 3,
Public Records of St Lurie County, Florida.
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~ fIONATtIRE OF ~ ~ TitN Oea
C~IF~rINCi ~ DISTRICT DIRECTOR
o~~fA~ July 31, 1980
oisuia or office
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