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HomeMy WebLinkAbout0464 ~ _ 1 ~ - . . . . _ _ _ . . ~ _ . . _ . . _ ~ . - _ , - , - ~ ~ ~ ; - Fotin 668 ~Nttt~NT oF:j#1E T~EI4SliRY a~ltERNAI REVENUE S(~KtGE ; ; - fOr Optqnoi;U~ 9r Recc~rdny Offica ~ ~ (REY, 10-71) _ ~~T~A~ ~ ~ ~ ~w+l.~ ; i . _ - DISTRI~T # SERtAI Nl1M8ER - s. ' ~ ; : - ;i _ aacksoavil2e, l~ia, - t~:,~ i40 b0-. D23 P3~b0 - - ~ }t - . ';1 hereby certify thot as to fitre follow~n~na ta the.re~ui~e?yi~nts of Sec~ion ~ ~~~p~~~ _ . 6~25(aJF?Internal Rcvenue_ Code, haye. ; ~ witi~? ~espect to'tfie tcpces ~u-~ ; a~„ i r~ e r a t e d= b a l o w, t o g e t h e r v ri t h o ll s t u f u t a r~ ' ~ons~. p rov~ded ~b y. Section 6~21,: at~d ; ~s - ' that th4:lien for such toxes ond statvtofiy ~au;' thareby beeri relca$sed ~ ~he ~ ~ ~j . ~ ~ : in oflize where notici f~mii~er~r~eyenue tati lieti wcis }filed~cx? _ ~ ~~~rw~~~ _ _ . ~ 19'.G~ he~by aWhoriztd ?b:make;nota~tion € ; . ~ on his books to~ihow the re!eosa of soid~~ien,-~scfdr~ais the iien reldei~ to the fo!(aw= ? . _ r in~ tvxbS: _ ' . r~_ t ~ ~ ` _ _ - NAME;OF TAJ(PAYER ~ : ° ' f - ; # , r~ r .Tµ ~ . ii. L.``~S~ 8. S, Blanchard i ' # . - _ S~ , - F ~ _ _ _ _i s ; . ~ , - - ` - ~ ~ . . . ' ~ _ !1 ~ . ~ . _ ('o-s. .F:;. - _ ~ ~ E . ' . `..r - . . . . ~ r: . RESIDE~I.CE ~ ~ rt ~ ` : ~ ~ ~ _ - ~ . ~ ~ FS~.- ..i t .i . ; !~33 ~ass~ pr. -FoYt rierci ` 1~Iorida - . ` _ ; _ _ Y _ , ~ ' t.; - `f - .ti _ : : _ , " ; ~ ' ~ - s ~ ~ . . ~ - . : ~ ; - i ~ UNPAID RAlAt~lCE . - ~ KIND ~JF TAX . tl1X ?ER10D ENDED DA7E OF ~SSESSMENT -1DEtv'TIFYING NUMBER - ~ OF ASSESSMEI~lT - _ (a1 . (bl - ' _ . ~d) _ (e~ _ _ . - , . _ . - . _ r~ - Incc~e:` 1960 4-3-61 59-254005219 620.00 _ ~ - . } _ . . . - . . ~ - . ~ . " - ~ - ~ . - . ~ ~ . - ~ - _ - . ~ ~ _ ~ ~ t - ' ~ - ~ . ~ - . . . - _ - ~ - . . - : . - - ~ . . - - _ i . x f ~ . - ~ : ~~~1~it~R~~~~' ' ~ _ ` _ RECOf~ tl~Ri~1 - ~ ~ ~ ~ ~ ~ 3~ ~ _ - - ~ _ . : - _~0~,~ - : - i _ . . _ PLACE OF FlllNG - - _ - . _ _ : , . - ~ _ : Clerk, Circuit Court - - ~ - _ - 620,00 - St, _ LttCie = COtt~ty ~ - - ~ TOTAL $ . _ - ~ . Fort Pitrce, l~lbr~da ~ ~ - . ~ _ ~ - ~ - ~ - WITNESS my hand at Jacksomtill~, Florida ; . - , on this, _ . ~e16th day of _ . ~ ~ 9 _ 75 : . . , - - _ : _ - , - _ _ _ _ ' - - ' _ ~ . - _ - _ _ . . - . ~ - . . . . . . - ~ ~ . ~ _ ' . . ' - 7 ; _ _ - ~ - _ $IGNATURE T1TLE , , ~ - . C6iif, SpR~ial ~rocednr~s Stal~ ~ - {iVOTE: Cert'rficate oF o er. thorized by Imr: fo tclcr. ocknowledgm=r?is is not essen#iol :o tfie v6tidity of Notice cf Federal~l'*~t tien G.C.M. _ 264t9, t B. -19'~0 51, S ~ - - - tY _ - _ - - _ . PART 3-To ba used for r~ording purpaset . - _ - M ~ ~ . ~ - ~ ~ - . - c_ . } , - - _ -s<._ _ - - - - - ~ _ - .