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. Form bd8 T U. S. TREASURY OEPARTMENT • ~NTE~r•:~; REvENUE :fR':tCE Fv i Use B~ Reco.d,nq Otl.ce
~~ev. a-s~~ CERTIFICATE Of REIEASE Of fEDERAI TAX_UEN '
DISTRICT - SERIAL NO. i$GZS~ FIL.ED AND RECORDED
~ OR 181 Pa e 964 ~Z• LUCIE COUNTY. FLA. - -
.uc~cscutvna.8 g ~or~~9 z~~~~c
1 hereb• certi(y thut os to the follovring•named toxpoyer the requ~rements of Sect~on ~~'l~
6325(a), ~~ternol Revtnue Code, hovc been sotisfied w~th respect to t!~e roxes enu•
meroted belc+, together with all stat~tory odditions provided by Sectio~ 6321; ond~7 QPR 28 ~ I 1• 3~ ~
thot the lie~~ (or suth taxes ond statut«y odditians has thereby been re(ecsed. The
proper office~ in the office where norice of internal revenue tox lien was f:led on
Deeember 1 , ~9
69 ;s hereby outhwized to moke norotion
on his books to show the releose of soid lien, insofor os ~he lien relates to the ES~~~t~ r OITR~$
F~~~~w~~s to~es. ~ LERK CIRCUIT COURT
NAME OF TAXPAYER
4?Z9 I1S~ FLDRT~CE ~'.SH3 :
~ RESIOENCE
' 61~31 80tTPH DDIAM RIY~t DBI~~
FoR? PIEx~, FLO~ID~? 33450
CLA55 OF TAX UNPAID BALANCE
(Tax Return Form No.) PERIOD ENDED ASSESSMENT DATE IDi:.:TIFYING NUMBER OF ASS:SSMENT
~I (o ) (6 ) ~c ? (d ) i e 1
~ 1~ 6-06-64 39-~ib-rl6ZS 1 17
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~ PLACE OF FILING
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~ CI.iB[~ CIaCt~ GOi~R2 TOTAL sll~1T
3? LtICI~ ~t~ITY, Fi~CTs, PLOit3De
wITNESS my hand ar Jackaonville, Florida „ or, th~s,.
the 22nd dQy o{ Aprll ,19 70.
SIGNATURE TITLE ,i.
Z
ack Durant Chief, Special Pracedures Staff
(NOTE: Cerr cote of offic~r ourhwi:ed by law to toke acknrn.ledgments ~s no! essent~ol to rhe .olidity o( Notice of Federol To: L; ~r G.C.M.
~ 26~19, C.B. 195051. 125.) tPP
PART 3-To be used for recording purposes
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