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, ~ 1 . , ~ . : . . - _ _ _ . , . . _ . - - , ~ . _ - - , _ ' . - - .1--- - ~ - OEFl1!lTMENT TRf/WRY-±~RERNl1l R€YEN'JE S~IiCf t ' ftv OptionaJ Us~ B~ Recardng Olfrce ~ ` F ~oian 668 - _ ~ qt~- _ _ (REV ~a~i~ C~ti~~ItS'E 0~ R~AiSE~~lf FEOBt~I TA~t~i.~! ~ ~ ' ~ . ' r'' • . S~RIAI ~ NUMB~R ~ < Y . . 4 ~ , s - - ~ , DI5i6KT . . - . _ ~ . ~ _ _ ; ;i , 3i $1~1- D46 P3S . ' ~ : ~ . ~ F, _ ~ Jack~a~ill~ Florida . ~ _ i _ : I hereby certify that as to the followi~narp~! t~o~ayer the requi~e~enn qf Secfl~n ~ t f 6325(a `=1nlemal Revenue Code, have ~een'' ~ witfi respett to ithe tt~xes ~nu : : riierate~balow, together weth .dll s#a o~~onr~provided: by Seciion 6~21; t~ ~ _ - ts i t - : tkat the ~lien for such toxes and sto~. ~ o~ has thorehy been releosed. ~he ~ , ~ <o `.ffis in t ofFice w}~ere noti~bQf'~ rzvenue tox liett wos~ 61ec~;on ; ' _ # ~ P~ ~ - . ; t q; z- -.~a he#ebr auit~o.-~zed to~ nioke' notc~ion ~ i ~ . ~ ot? h.is b~,okt to show the release of said li~~ss~fa{~ as~tfie lien rclates to tt?~ folEow• i t ~ , i i'~ TOI(CS. ` ; -~s ~j- : i t: t ~ y~ ` ^ . y.: . ~ 1. g " Pi~1M~;~F Tpd(PAYER - _ ji 3 ~ , ' x . ~ ~ . : s it. L. Blu~ebard - : . - 4 ' ~t.• ~ ~ ~ . Y _ ~ ~ - - ~ i~ . . - - _ . - ~ - , i ~ t~Sl CE ' - . ~ ~ 4fi _ . - ~ t, ~i13 Se~ay Dr. , !C, Piarae,: F1orid~t - - ~ f; . ~ _ _yf. ~ - - :i _ 3 ~ . _ - t? - _ - . ~ ~ ~k , - - ' - j ~NPAtD BALANCE ~ ~ KIPiD OF TAX ~r TAX PERfOD EN[?ED . DATE aF ASSESSNIENT .`~~IDENTIFl(IPlG NUMBHt ~ OF ASSESSMEtd~' _ ~ lal . . . ~b~ - - (d) . , (e) _ ; . ? . Incase=~Tax I961 6-~-62 59-254005219 _ - ~656.00 ; _ _ ~ 3_ - . - _ _ _ ~ - _ ~ . . - - - : ; . _ - . - ` _ # , _ . . - - - • i . D All@ RE - - _ - . . : - . . - ~ ~ ~ - ~ - ~ - - ; +t~ ~y~R~~9 ~ ~ - i - - _ - ~ - - _ . i . - 1. ! ~ ~~5 " - . . _ ~ r ' _ . . ' ~ _ - PL.ACE OF FILINC _ - _ _ - _ . _ _ - . - . - ' - Cierk, Circuit Ccuxt - - _ - - _ - TC~T~ g ; 656.44 . _ Y t.. n....~,.~... , - _ oL~ s~~s~:ac •rvassa~.7-~.__._ . ~ ~ - ~ . - . . . . . . . ~ - - _ . - . Ft. P~erce, Fl~r~.da i~ ~ _ _ : ~ ' . - ~ - WITNESS my hand at ~Tacksonville FIo=ida ~ _ , on tfi~s, • _ _ . _ _ - z _ ~e lbth ci~y of ~Y ~ , 19 75 . _ , ; - - . - - ' - ~ ~ - = SIGNATURE TITLE' - dO~( PACE, . . - _ J~ Cb{sf ~ S ~cial Yracednras . SCaf~ - ~NOTE: Certificate of er thora~d by law to toke ~knor.iedgme~-~ts is not essrntia~ ro the vatedity of Ndice of Federd Fau L'~n G.C.M 26419;. ~'.B. 195a-5 125. . et ~ _ _ _ PART 3-To be used for recordie+g purposes . ~ . ~ _ , _ - _ _ . : . ; : , _ : . ~ : . - = t . . . _ ~ _ _ . . ; , . _ - - - . - - _ : "