HomeMy WebLinkAbout1622 • . - ' ,
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E • ~ U. S. TREASURY UEPARTMENT - INTE~NAI QEVFNUE SERV~CE ~
CERTIFI~JIT~ ~0~ RELEASE OF FH~tAL TAX LIEN ~
i ( t1/. NOV. 1961) .
~ '~T/
~ ~formerly fum 669) ITe b~ ~sed Rdeos~ Te: lien~ ~~de~ S~cKen 6~2SIol, I.R.~. ef 195~1 ~
DISTRICI~ SERI/LL NUM6ER
j O 10 @ 1 0 I
I hereby ceriify that as to the foilowing-nomed taxpaye~ the requirements of Section 6325(al, internal
; Revenue Code of 1954, have k~en satisfied with respect to the toxes enumerated below, together with
t all statutory additions provided by Section 6321; and that the lien for such taxes and statutory additions
~ has thereby been released. The proper of~'icer in the office where notice of internal revenue tax lien
was filed on November 5, , 19
b~ is hereby wthorized to make notation on his books to show
~ the release of said lien, insofar as the lien relates ts ihe following toxes.
.
NAME OF TAXPAYER
~ ~ ~i ~ ~ ~f ~ • -
~ RESIDENCE OR PLACE Of BUSIIJESS
R~+ Z H¢ 366i f3~~? rla. - ' , . . . ~ . ,
R ~
~
iYPE OF TAX AND PERIOD ASSESSMEM DATE REfERENCE NO. AMOUNT OF
t lol Ibl ~~f ASSESSNIENT
I f Idl
~ ~ broer 1~D 7943 5-@!-~ - 511rQ3~3~1~t ~ 1~b~~5
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~ FIL D ANu RECORC
" ~OOK
E
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i ~ . 14~;~f.1~3
` ~ \ - - ~'i't)~:»t~ . . • , .:i. ..Lt1~1~
~ ' S . ~UCtf~ ~Oi1PJTY.
. ~ FLORiDA
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= ' CE OF FIIING ~ ~ C~~, ~
~ a~ C~l~ TOTAI s
~ ~ ~'fr ~y
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~ ESS m hand at Jacksonville, Florida , on this,
WITN y
~
~ the ~3rd day of Rpril , 19 65
~
DISTRICT DIRECTOR OF IMERNAI REVENUE B re) TIiIE
_ Chief
~ Laurie W. To 1' o Special Procedures
INOTEs CKtificat~o~of~ r horited by low to toke b is not essentiol ro th~ validily of this docwnent. G-C.M. 26119, C.B. 1950-1, 125.~
~ bh 'r 4~ ~RT - To be used for ncording purposes
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