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: 4,.:~.----v---~c- . _ r _ _ .,v..._,.-~ _ _ - - - - - ~ - • ~ . . ~ r - . 4:~~ F~ ~ U. S. TREASURY DEPARTMENT • iNtERNAI REYENUE SfRVICE F~. qw.orl Ua~ 8~ Rrc.Iwg aN~c+ raE e.e~ CERTti1CATE OF REIEASE OF. FEOERAF TAx ~1EM • . DISTRI ~ ~ ; SERIAL . . ~s ; 1 , " g?~Ci~ CO ° IiMr~~? eNtifr,~:et os to tM followiny~ ' xpoY~r tht ~ouir~~j"~ts of S~stiar._ R C~~~ ~ let~p 63 1~(s}. Mt~rnol R~venw C o d~, lwva b~ e~ so d ~ri t h, napeet to t 1 K~ ro:~s eo~ ~ n ~ nkret~d ~i•w, toy~tMr with all sfotutorr:.a,d~o~+s ~orid~d br Siction 6321; and ~~74~~ ~ thqf th~ ia~n for su{~ toK~s and sYatutory;odditi~ns (ya ~h.~.by be•n r~i~os~d. Tha» t " ~ ~op~r oEKa~~ in tlit ofFiu wh~n notic~ `of in'~`reel :~iwnw Mx (iee wos fii~d o~, ' t/uN ~ 8•~~ . L , ~4 i~~~~bJr outhoris~d M aak~ nPtotioll'~ - ` • ' . • = cn.~his books _to s tl?i ~~Iws~ of soi~ liiii;' insi~(o~ os tM li~n c~kt~s:te th~ A fo11=o~?~~-..x s: . ~ _ ~ ROGER- ~0lTR~ . . , NAMIE bF TA p1fER . ' GL.ERK C~RCU~ C~~~T~ ~ . ~ ~ ~.T~ . . . : ~ i . . . . . - . . . . . : • ~ , . f~~ ~ . ".a~g,, . ' . ~ . . ,`s~. - ~ ~ ~ - ' . . . . RESID~NCE - - - ' . • f . i ~ ~ ~~~lt ~s~'~ - . . " - C1.i~SS,OF TAX~ a~ ' UNPAID BAIANCE (Tax Riturn Form No.) PERIOD ENDED ASSESSMENT DATE IQENTIFYING NUMBER~ - OF ASSESSMEN7 ~ (o) - _ tb) "(cl fd1 ~ C~~.- , - ~ ~ ~ ~ J PLACE OF FtUN ` Q~ ~ ' TOTAL i_ 1 ` - Jaak~aa~i21.~. ~1a. WITNESS niy har~d ot , on this, ~ th~ ~ ela~r of ~ ~ ~ 70 ; . ; - 1 l SIGNATURE _ TITLE ~ ; . ; ~~j CHIEF-SPEC.PROE'.$!!1~ tt i 0'10TE: Gert~lio~M d of(ic~r i..tlarised br lo.+ te rok• ockne.bdqmeros is net Ha~nYO! t~ tM rolility Ndie~ of F~dN~I Tea L~~~ C.CJiI. Zi119. C.d. 19SOS1, 1tS.) rART 4--Te b~ nloi~ed br SK ~ ~ , - - ~ - _ - - ~ ~ - ~ ~ _ . .