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~ L/ Faw bbt U. S. TREASURY DEPARTMENT - INTEMlAL tEV~riIE SERVICE •
' ~R~,,. r,o~,. ~9`~~ CERTIHCATE OP RELEASE OF F~ERAL TAX LIE~~
I IForn+erry iomr 6691 i~e b~ vs~d io i~iws~ imc ii~ns uewi+r fi~ttion 8313iaj. i.i.C. ei i45iy ~
i DiSTRICT • ~~L ~
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~ I hereby certify that as to the following-named taxpoyer the requirements of Section 6325(al, Internal
Revenue Code of 1954, Fwve bee~ satisfied with respect to the tuxes enumerated below, together with
j all statutory additions provided by Section 6321; and that the lien for such t~axes and stotutory additions
~ has thereby been released. The proper of~icer in the office where notice of internal revenue tax lien
i was filed on~ t- 25~ , 19~3 is hereby wthorized to make notation on his books to show
~ the releese of said lien, insofar as the lien ~elates to the following taxes.
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~ r~a~E oF L,xPwtrER .
I 1~ ~a
i RESIO~ICE OR PLACE aF dUSIP1E5S
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iYPE dF T/UC M1D PERIOO A~6NIEM DAiE R~ERBdCE NO. OF
/1SSESSINIH~li
b? !b) k1 Idl
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i i W•~Y ~.~1.?~ ~i.i.~f~ 11~t.y
! l _ ~ ~s s~ w soo~ s. -
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i A p~8 O~K .
I f 11. .
~ ~N
; ~ g;03
i '66 A~ 4515
I 1. 5. ~LERK
! .Re~T `uC E
C
A N?Y.
s F R19 .
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1
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~ r PIACE OF FIIING e~, ~
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~ TOTAL ;
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WITNESS my hand at JaCkBOmtille, Flo2'ida - , on this,
the ~5~day of . 19_~
DISTRIC~ DIRECiOR Of tMER1~M! ~ BY ~Sipiwtu~) ~T~
~i l~t! .~9C~~
I.auris W. Zb~elitiaon
~?rorE, c...r~+ioot. of .+6a..vtrn.~z~ b,? isM? ts tob a na .u.rnto~ +o th. w~fdif~r ~ ~OOK s7 saa14~„rthJ so-16~s.? -
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rART 3- To us~d for recordin,~ purposes ~
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