HomeMy WebLinkAbout0627 - . , . . . _ . , _ .
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i~i?wrt~r o~~r~r. . . ~v~ ~av~ '
! ~R~. ce~n~cAtF~ a~r?sE oF~~. T~?~c u~ ~gg ~
~ (Fom~xly Form 669) IT~ M w~d M Tac Li~ w~d~t-~etM~ ~,1251~ I.f.Q~~f 1934~
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I he~eby that as to the fotlowing-~med i~mcpayer the require~ants~of Section 63251a1, Intemal
Revenue Cod~1954, hove been saitisfied with respect to the toxes e~um~rated below, together with
all staturory additions provided by Section l~1; and that the lien for st~th tcqces .and sficitu~ory addifions
has thereby b~ r~~ased. The prop~ o~R'oer in the offiae where nclice of internoi• revenus,tax lien
was filed on • , 19_, is hereby authorized to mcke~~notation on._~js books to show
the release o~ said lien, insofar as the lien ` relates to the following t~a~ces. '
~ NAME OF TAXPAYEi~~ ~ ` ~.z ~
~ ~ ~ . ' , ' . - -
R~ID6NCE OR Pl/1CE Of ~t~lt~ ~t
' ,tL~ -
7Y/! OF T/1X /11~ PlRtOD AS58~IM~ti ~ W1TE ~ ~ NO. ~T OF
al ~ ~ nss~r
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i i•~ ~~i t~ f l1ARA f 1l~.+~
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~ . AN~ RECO DE~ -
~ I ~ _ - FILED , . f08K - .
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0 y? ~o
( ~,'66 A?R 26 N~ :
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~ _ ~ RO~ER p0lTRa l'~,
LUCIE Cp ~L
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~ PUCE Of FlUNCa
i ~ ~ TOTAL = ~
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Jaclcaon~ille. Florida on this, ~
WITNESS my hand at ~ ,
_ .
t}~e 15tb day of ~'ch _ 19 65
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WSidCf qRECiOR OF fNiEiWA1 REVENUE Wp~whrnl m~ ~~.,q~
I.anri~ li.` ?oalinsos ~
Specal Prooedure= . $ei.$o11 ~
IN~ib C~rttiat~ ~i ~alk a~1lr~irxr Y~r bw te b na ~+lai t~ ~M ~?didih of tNs ~~~M19. G~. i~. 1?S.1 ~
bh ~ART, ~ TO M Yf~ ~(~Wt~{if~ PV~PO~
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