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~ ~ •~w ~ . ~ U. S. TREASURY DEPARTMENT • WiE~NAI REVH~RIE ~ERVICE '
,9~~, CERTiFlCA7E OF RELEASE OF F~ERAL TAX LIEN 132521'
..(fonr._ Fonn 669) (T~ b. w.d ~e R~Iws• To: tl«~s ~nd~e S~ai.w 0~2Sh1. l.l.G 1'SS) -
. DISTRICT SERIAL NUAAbER ~
~ ~ Offt Bvdc 66 Pg. 57~ ' 117228
i hereby certify that vs to tha foliowing•nomed taxpayer the requireme~ts of Section 63251c), Internt~l
Revenue Code of 1954, hove been sotisfied with respect to the taxes enumerated below, together with
all stofutory additions provided by Secrion 6321; and that the tien for such taxes and statutory additions
has thereby been released. The proper officer in tfie of~ice where notice of intemai revenue tax lien
was filed on Ju y 25th , 19~, is hereby uuthorized to moke notation on his books to show
the ~etease of said !ien, insofa~ as the lien relates to the following laxes. .
NAME OF TAXPAYER '
~ llZbsr~ C. iie~ell Jr. ~
~ r~~e~a oR ~u?a oF aus~r~ss
126a1 North 1l~t~t? St.
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~ TYPE Of T/1X 11t~ PERIOD ~~55ESS~A~ OJ1TE ~ NO. . MIIOIJNf OF
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~ 1~+0 - 1-61 5/~/63 63 D a632~ ~4.6?
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: 13252~ ~ '
` F1tED ANO RECO DED ` ` ~
I~ • • 600K ' ~
~~65 J~iN I~4' PM : 29 ~
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~ ROGER POITR~ . [EiiK ~C-` ~
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WITNESS my hand at Jacksrniville~ Floacida . on thls, ~
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' ~ 16th d~ of December 19 61~ -
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' LAI}ftIE W. TOPQ,INSON ~
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