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' f~ ~ U. S 1REA5URY D~ARTMEM - INTE.RNAL REVBiUE SERVICE ~ •
taEV. No~r. ~9e~~ CERTIHCATE OF RELEASE OF F~ERAL Ti+ic UEN
! (Fomwly Form 6691 R~ w w~d N Rd~ew Tmc lMm w~ S~cNew 6~2SIal.1.RG ~ 1934)
~ WSTRICT
' 137930 OR 121a pg 299
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I`~O 1 hereby certify that as to the following-nt~med fuxpayer the requirements of Section 6325Ia1, Internal
:~tevenue Code of 1954, lwve been sc~tisfied with ~espect to the taxes enumerated below, togefher with
; II statutory additions provided by Section 6321; and that the lien for such fiaxes and statutory odditions
as thereby been released. The proper ofl'ioer in fhe office where nofiae of intemal revenue tax lien
~ as filed on ~St 9 , 19~ is hereby autho~ized to make not~otion on his books to show
~ the release of said lien, insofar as the lien relat~s to the folbwing taxes. .
i NAME Of T/1XPAYER
~ f~i~ B~i~{ ~ I~os -~L ~
~oe~ oR pu?cE oF sus+~xs
; T00 Oea~ Aciw fflad 1rL.
iYPE OF TAX /1Fp PERIaD /?SSESSINEM DJ?7E - ~ NOi. OF
, ' (Qi ~1 ~ A~te~
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~ p}31••6~j 06-13~-d5 ~ UNTY oFL .
~ Rf~CORn VERIFIED
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~ CLERK CIRCUlT COUR
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t PIACE OF flUNG ~ :.i~~; ~
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WITNESS my hand at Jaeksenvi 17 e~ .F1.~~'~da , on fhis,
the 3~h doy of Noveaber , 19~_
asr~acr a~crort ~ rnte~ ~ ~.1 ~
A. J. 0~ DONNSI.I., JR. .e~~~~ cial Ptoce~'ti res Sectioll
~IOTE~ GrtiRaow of o1Ro~r a~M~o.i~d bY low a wk~ ~dpnwNa b nof ~sfwaiol a th~ voltditp of Mls dou~. ~jC~b419. ~9~~j, 125.~
~ARf 3- To b~ ~s~d for ncoedin~ P~+rpos~s a17~OK.i~4i PACE ~ ~~~~tiN ~
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