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jI• ~ TR~ISURY O~ARTMEM - IMfl11llAl RENEWE 9ERVICE
~~v. iao~v. i9ai~ . CERTIRCATE OF RELEASE OF FEDERAL TA7C LI~1
Iform~rlY form 669) R~ b~ ~s~d N Rwbet~ Tmc LNns rwdK l~sti~a ~.125(b. l.l.C. ~t 1954)
DISTRICf - SERULL NUMdCR
I hereby cet~if~ thut as to the following-rwmed taxpayer the requiremenfs~of Section 6325ta1, Interncil
Revenue Code-of 1954, have been satisfied with respect to the taxes enumerated below, together with_ _
all statutory additions provided by Section b321; and that the lie~ for s~ch taxes cnd statutory additions
has thereby beer~ released. The pro of~er in fhe of~'ice where Rofice of intenwl revenue tax lien ;
was filed on ePt 18 ~ ~ q~3 ~s hereby cwthorized to rr~cke . notation on his books to show ~
the release of said lien, insofar as the lien ~elates to the following t~axes. ~
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NAME Of TAXPAYEt ;
~~~~f~~~~~1 ,
aesioe~ oR pu?a oF eu~r~
~ef~ ~ML~s ~i~ letl~y ll~ri ~ ~
~w?ou~rr or
7YPE Of TAX MID PERIOD ASSfSdMEM W1TE . ~ NO. ~
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~ . ~ f.~ }~.i3 , . ~•~Oi~ ~ 1,~i.~S
FILEO AND RECORDEa
~ ST. LUCtE C UNTY. FLA.
" , .1?FCc?R[; ERIFIED _ ,
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_ s~ a.~~,, z9 io . ys
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C~~RK.CIRC IT COUR7
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PIACf fll ~ ~e
j~~ ~ TOTAL ;
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WITNESS my hand ot Jacksonville. Flosida , on this.
the 22 day of Au8 , 19 67
asT~ua a~croR oF u~r~ ~ a t
~
<~,~;,•n
A.J. O~Donnell Jr. ' ~r'~ ~t
u~or6 c..nucot..t .fCw~ ann.~~.a by w ak. «w,ow ~s ~a ....onalto rr» ;ro~id~, e~ rN. ~G~~'PACE ~G.~~ ss.t
rART 3• To b~ us~d fo~ ncordin~ purpos~s
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