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Furm 660 I U. S. TREASURY DEPARTRIENT - INTFRNM REVENUE Avt E
I~EV. N'JV 1461; ~ CERTIFICATE OF RELEA5E OF FEDERNL~~A~CI,U~N .~~~h~ Y ,
To b. v>t.d to Rdw>,• Tax U.ns und.r S.dlon 67251n), LR.C~.b 1~~~ ~ ~ ~
I(ounerly Form 66911 _ ~ ~~
DISTRICT SERIAL NUM6ER
_ dACx~c~iiVlLLS Fi~oBID~ ___ O.H. Boatc 24, Pr4g+ 333
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hereby certify that as to the following-namedtaxpcryer the requirements of Section 6325(al, Internal
Revenue Code of 1954, have been satisfied with respect to the taxes enumera'ed below, together. with
all statutory additions provided by Section 6321; and that the lien for such taxes and statutory additions
'teas thereby been released. The proper officer in the office where notice of internal revenue tax lien
was filed on _ __.-_~~~~ ?-, 19~, is hereby authorized to make notation on his books to show
tlTe release of said lien, insofar as the lien relates to the following taxes.
NAME OF TAXPAYER
Hdu-in H._ it Satdra_ $. _ ----- - - - ----- _ - --
RESIDENCE OR PLACE OF BUSINESS
I
TYPE OF TAX AND PERIOD I ASSESSMENT DATE
lal I 161
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1~_'1F0 YTIOOM 1960 I 5-25-b1
y•.,, •
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FLIED .AND R y~~~00K
1~; ~~~~~ial R ~
1961 NOV 20 AM 10~ 10
ROGER POIT~ASr CLERK
-IJCIE COU'TY, FLORIQA ~~
Sj• - I / Ctt ~
REFEkFNCE NO.
(d
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6~ 30202?f
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I
AI,',OUNT GF
ASSESSMENT
i Idl
,_ _ _ __ _-
: 1+x•03
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i ,,..
:,-
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~,
t..
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Ftt,CE t';r FILING -
S ~ LRS~+i• C01tatif~ TOTAL (S 1,115!+~~
lrort piarao, lrlorid+i
WITNESS my hand at_____._____-__- Ye~4 $iila ~4Yi~ _naT~- _ _- _ - - , on this,
the _la'dh _dayof.___><I[OY~fMb~~__, 19~~
DI~TF'ICT DIRECTOR CrF INTEFNAL kEVENJE
gnaturel----- - ~ TITLE
LA1JR~ d. Tf~'iLSH81^al
INOiE: Certificora o1 ofT~cer ovthori:ed by law to take ecl,nowledgmenti is not efaenti~l to Ihv validity of 1}..i <:x~ma~~t. _%.` M. 26419, C.B. 190 1, i5 1
PART 3 - To be used for recording purposes
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