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~•ew 66~ U. S TREASURY D~ARTMEM • MfERNAI REVETNlE SERVICE
(REV. NCYV. ~~» CNtTIRCATE OF RELEASE OF FERAL TAX LIEN .
(ran-erty Form bag) (r• b• •s•d 1e RRMar• Tmc tlMS •ndr s•ctbw bS2st~, I.R.C. •f 19ss)
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SERIAL NUMBER
I rereby certify that as to the following-named taxpayer the requirements of Section 63251a1, Internal
Revenue bode of 1954, have been satisfied with respect to the taxes enumerated below, together with
all statutory additions provided by Section 6321; and that the lien for such taxes and statutory additions
has thereby been released. The proper officer in the office where notice of internal revenue tax lien
was filed on November 17 19 s, is hereby authorized i+o make notation on his books to show
the release of said lien, insofar as the lien relates to the following taxes.
NAME OF TAXEAYpt
J Strtws! i yie3+a Y Malirns
RPSIDE~ICE oR @MaE of sustNt~
?:~ Malt Ootrr Dosd+trt~i. Nsitta~ ls.r• r1~18t
TifPE Of TAX AND PERIOD AS5135MtM. DiATE RfffRENCE NO.
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ASSESSMENT
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FI D AND RECORDED
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PIACE oP AuNG CLERK CIRCUIT CO
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WfiNESS my hand at Jacksonville. Florida , on thi:,
~ 25 day of Jay 19S't$_