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~ _ _--t . _:~r- "-a -.~rc-~- . :..~`s~c ~=a>-' " " = _ . . . . . z- - . . . . . r ~ f ' „r~,/ ' ~_I~~ 1 . T . ~ ! t • w ' ` 2 _ ~ K/ ~J. • ~SU~Y DHARTI~ENT ~_JNTE , vE1~E SfRY1CE ~ IREV. NOV. 1961 ~ CERTI~~ REL~ASE .~F . TAX Liqd ~ ~ ! ; ~ ~FwmN1y fotm 669) R~ rwA N T~c Ww~ ~r.-~cli~w ~~2S1~1. i.l.C. ~t 11511 OIS1RiCT ~ ~ , _ t. x I hereby certlfy ttwt as t~o the foltowing-nomed t~mcpayer the ~equir~ts:of Section 63251a1, Internal Revenue Code~Vof 1954, have been scitisfied witl~ ~espect to fhe taxes e~umtlra~ed below, f~ogether with ali statutory additions pro~yided by Section 63~1; ttnd that the lien for such tc~ces arid st~atubry additions has thereby I~een r~sed. Th~ proper d~~ in ihe 'offioe where natioe of intern~l revenue. tox lien was filed on ~ A~ 12 , 196'~~., is~ hereby authorized to make; notation on , fiis books to show the release of'~`soid lien, insofar as the lie~`~'~etates to tfie foibwin$toxes. wu~ oF i~~ _ • ,g . Y ~ ~ ~ ~ ~ ' . _ . ~ . RESID~lCE OR PIACE OF el~ME55 ,..,~e~~ n ~ ! • ' . AMOIlNf OF TYPE OF T/1X I1t~D PERI00 AS~1~Et~R DJ1TE ~ ItBfREidCE NO. ~M b~ • , ~ - Idl ~ " . . ' ; ~ ~ ~ ~ i ! ~ Fr~Ep ~MD R ~ ~ ~ 3T. LUCtE CO ~ ~ RECORO v~R~F ~ 1 ~ ~ ~t FEB 7 AN f0 ' q0 ~ - ~~ERK C RCUIT CO RT ~ ; ~ E. ~ ~ . ~ . . _ ~ ~ - ~~i~y ~ ~ ~ ~ _ _ TOTAL = ~ - ~y~TM~ my Jackaonville _Fla _ . on this, the 6 doy of Fe6 , 19~L u~srR~cr artECrat oF arrErtw?t ~v~ ~ ChieP, SPeoial F . S . Scln~itlt ~Qeduree 3eatio~ (NOtE~ c«N6w1. of o/k.. arN~ori~d br bw a tob k no~.aa~Ho~ to d» vdldiy, ef thi, da~au'~~~`~Q.~~~~125.1 ?ART 3 b~ us~d for ncoedin~ pvrpos~s _ ~~b~ _ _ , _ - " ~ ~:c,-^~