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L ~ K~ . U, ~,.1~EASUpY DEPAftTMENT = iNrEnd,~l ~EVE~uE seRViCE
CERTIFIC~'~ QF RBEASE Oi ~L TAX U~i r:~~~ D
E (REV. NOY. 1961?
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d. I. R. C. ~f 1154!
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z I hereby cedify that as i~o the foibwir~t~dimed faxpvy~ the requirelF~ents af Ssction G325ta1, tnterrwl
~ Revenue Code t~f 1954, have been satisfied with respett to the taxes enu~ryrahcd below, togather with
~ all statutory odd+twns prov'~ded by Sectwn ~1; and that the Ge~ for wch taxes and stotutory odditions
has thereby been releosed. The proper o1lfcer in the offioe whe~e no'tice of internal reven~re tax lien
was filed on~Fte,~ber 17. , 19~, i~ hereby authorized i~o make- notation on his books to si~ow
the release of said lien, insofar as the lieri r~lates to the following taxes.
NAME OF 7AXPAYER' .
RESIOENCE OR PLACE C~ BU51NE55
TYPE dF 7AX AP1D PERIOD A96~}MF.M DATE R~EREIVGE NO. AMOUNT OF
(a1 , (b) A55E55MENT
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. . ,65 ~EP 2 PN ~ : A~
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` ~ ROGER PO TRAS. CLERK
~ : ST. LUC ~ C4UNT
~ FL RID
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WtTNESS my hand ot Jack~onville, Florida
the ~3r~• day of Norember ~ ~q 64
oisraicr ooi~croR t~ ~rrrE~. r~v~ s~r ~ fmF
~ Chie!
Lauri.e W. Tosliaaon gp$~ia~ procedures Sectio~l
ttVOrE: C;.nitKOt. ef olfic.r o~,rhe,is~a by {aw eo tok. odueo~v~dq~e~h is na.asKitio~ w,+» w+idity ~f,t~i. b419. c.t;t~~. 1ss.)
b~ ~ART 3- To b~ ~sMd for rtrwding purpos~s ~
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