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AIf IlOYiO !Y ■TAT[ BOARD OF ACCOUNTS. MAY 1041 ^ - FOAM RE 61 •YI W <br />RECEIPT FOR PAYMENT OF INDIANA GROSS INCOME TAX ON SALE OF REAL ESTATE <br />- r. <br />Receipt N® 31719'7 >q <br />RECEIVED OF Gurley beep Buick, Inc. ,Grantor <br />G <br />w <br />ADDRESS St. Jose h Indiana <br />STREIT CITY COUNTY 77ATE <br />--- Fifteen cents------ DOLLARS .15 <br />w <br />oa <br />INDIANA GROSS INCOME TAX ON SALE OF REAL ESTATE LOCATED IN St.Joseph r COUNTY o <br />DATEJanuar 24 ig79 County Treasurer o <br />U <br />Isn <br />Tax paid as evidenced by this receipt is based on taxable gross income in amount of $ 10.00 as d^c!arPd by <br />above named taxpayer and is subject to adjustment in case of error or misrepresentation in such declaration. F' <br />