(19.) |
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Collector’s Office |
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8th District, State of Va |
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June 29, 1867 |
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Div. No. 1 |
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Mrs. M. Gleaves |
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To The United States, |
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Dr. |
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(For Internal Revenue.) |
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Rate |
Amount Tax |
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Tax on Income for the year 186_, Amount, $ |
5 per cent. |
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Tax on the following articles, for the year ending March 1, 1868 |
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___ Billiard Tables, kept for private use |
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___ Carriages |
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Plate, ___ oz. |
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1 Gold Watches |
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1 |
00 |
Amount of Tax |
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$1 |
00 |
Penalty . . . 5 per cent |
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Total |
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$1 |
00 |
Received Payment, |
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Geo. W. Jackson |
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Collector. |
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