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fN0 i~~ • U. ~ DEP~RTMENT,-.WiEfNAL,fE1(EI~ _lVICE .1 _ .
i~v. ~av. ~vai~ C OF~ RELEASE.~ F~Ot~L TAX LIEN . ~
(Fonrwiy Fwm 669) R~ M~ N T~s Lbw~ w~et;~cN~w ~~25, . I.R.C ~f 1~SII .
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1 hereby thot as to the foilowing-nomed i~axpoyer fhe req~irer~tientszof Sectio~.6325ia1, tntemal ~
Revenue Code;9f 1954, hove becn sotisfied with respect f~o the taxes e~iumsrated below, tbgether with
all sroturory c~itwns provicl~d by Section ~1; qnd ttbt ftie lien,for such t~ces and statubry cidditions
has thereby r~a sed,;~~h e pr~er ofl~ ih fhe offi6e where na~iae of intern~d revenue tax lien
wos filed on x 17°'+ , 19~_, is heretiy author~zed to make ~notafioi~ on , f~is books fo show
t
he re lease o f `sai d lien, inso
f
ar as t h e li e~'"re
t a t
e
s to t h e f
o l bwi n~ xes. _ _
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n~ of Tnx ~wo wss~errr a?~ t, a~aa~cE roo. : ~M:+ ~
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! RiLEO ANO REC ~p' '
i ST. lUC1E COUN (,p:'
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. INAY 3 I AM 3~ - ti
. Fi01ER ?OITR S
~LERK CIRCUIT C URX
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` TOTAL =
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~ WITNESS mr h~d ot Jackaoen?ille ~larids , o~ tfiis,
28th ts~pr 68 :
N~ da~? of 19
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ial Prooad~aea
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