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Fo~m 668 U S TREASURY DEPARTAAENT - INTERnA~ RE VENUE SERwCE~ ~ Fa Op~.~.w~ Use B~ Recwd ry O~l•ce
~~REV. &671 ' CERTIFICATE Of REIEASE Oi FEDtRAI TAX t1EN r f~tEO AMD REa ~
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i:ISTRICT SERIAI N0. ROOEA P41 ~
1 80 0 B186 P2Lt 8 CIEAK CIRCINT~~ ~
ere y c~rtiry t ar os to the follow~ng-namad Ioxpoye. the r~quirem~nts of S~ct~on ~EC~~ yERiF~p 1~
6325(0), Int~~nal Revenue Code, hove besn sotisfied N•~t}~ respec~ to the taa~s enu-
msroted b~1c«, togeehe. with oll statutwy odditions provided by Stction 6321; ond
tF~et ~he tie~ f« such toxes and stotutory odditic~s Iws th~rsby been rtl~osed. Tht
prop~r off+cer in tl+e office where notice of inNrnol rovenut toz lien wos (iltd p~
~+Tt~1~~~y.. , 19~., if hereby authoriz~d ro nake nototion
on his books te show th~ releose of soid lien, insofor os the li~n r~lotes to th~ ~pr~94
followiny toxes.
NAN1E OF TAXPAYER ~ ~ ! ~ O•
RESIDENCE s~ 3s ~
f~st lis~M~ 1~rlM-j~,90
CLASS OF TAX UNPAID BALANCE
i i?ax Rcturn Fo~m No.) PERIOD ENOEU ASSESSMENT DATE IOENTIFYING NUMBER OF ASSESSMENT
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T OT A L S~T~~
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~',TNESS my hand at ~TackQen_viLle, Florida , on rh~s,
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~ the~f.l1-doy of A~ri~ ,1971
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~~GNATURE TITLE
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~:y~ (NOTE: G+tilicor~ of of(~c a h :ed Y IOw ro toke ockno~+~l~dym~nts ~s not ~ssenr;ol to ~he vol~d~rr of No~~c• of F•derol To: ~i~o G.C.A/.
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a~.; ~~~q, C.B. 195051, izs ~.vWs ;
SGox >
PART 3-To be usfd for recording purposes -
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