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~ier 6M U. 5. TRFASURY D~AkTMEM - IMERMAI REV@IUE SErtV1CE ~
~ tRt,r. NOV. 1961! CERTIRCATE OF R~EASE ~ O~ F~ERAL TAX LIEN
(~rm~Y Fovn 669) ' (~e b~ w~d t~ biwM Tm~ Wm w~ S~cNen 6a2S1a1.1.R.C. ~t 193~)
DISTRICT SERUII NUMBER
,ii~ii~=Lii~ OR 146 447 145662
I hereby aertify that as to the following-named f~mcpayer the requirements of Section 6325Ia1, Internal
Revenue Code of 1954, hwe been satisfled with respect to the fiaxes enumerated below, f~ogether with
; all statutory additions provided by Section 6321; and that the lien for such taxes and sfiatutory additions
has thereby been released. The proper of~er in ihe ofFoe where notice of internal revenue tax lien
was filed o~ ~y , 1966, is hereby outhorized to make notafion on his books to show
the release of said lien, insofar as fhe lien relates to the following taxes.
NAME OF TAXPAYHt
~Met L i As~s.(O~qr~ Met~
a~ioe~ oR ~ oF eu~ - `
Tl~e~+i~
TYPE CF T/1X MD PBt10D I~SMEM W1T8 ~ NO. MAOl1NT Of
_ ~ ~ ~ ASSESSM.Bdi
Idl
j j 1~ i~~ u"'~~ ~T ~~ED AND R CORD D•~
ST, I.UCIE CO NTY. FL,A.
~ •"~~~R'~ V RIFIED
1
'61 JUl. 2 S ~
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~OGi~R ;•o~ Ras
" CLERK CIRCUI COURt'
PtACE OF flUN(i
~ Cl~ek, Cirait I~wst d1.I0
ror~u s
ll~et lf~s'e~s t3~sl+i~ j
l
W~~~ my ~ Jacksonville, Florida on this,
the 24~daY cf Julv ~q 67
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DISTRICT DIRECfOR aF INiERNAI RkYHdlJE sY TITLE
A. J. 0'Donnell~ Jr. Chief, Special
Procedures Section
(NpTE, CKti~oaN pf a~ aAhats~d b~r low to Uob b rat ~as~nNol b th~ wll~r of tFOs docu~wnR C.S. 1.950-1 125.)
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