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FOfTO 66g ~KARiMENT Of IfE /tEAAJRY-liTEiNAI lfVEhUE SE~WCE Fa? Oplonol l/w AY RKnrdnp
' ~~v i-JO~ C~1~CATE Oi REIEASE Of FEO#RAl TAl( UEN fIlEO ~NO REC
~~STR! SERIAL NUMBER sT.ltIC1E C~IIM Y
~i~11~~ ~'1~• 20?950 CLERK CIRCUII CW~It
1 1 hereby ce~tify that os to the folbw+nQ-named hsxpayer the rcquirements of Sectio~ 1tfCORD 1tERIf1E0~
o325(a~. Internol Revcnve Code, hcv~ been ~atisfied with respect to the toxes enu- _t {
mcYated below, tog~tF~ with all sta?utory addifiorts provided by Section 63~1; cnd y ~
. shat the lien for wch taxes ood staturory odditions.has thareby been relensed. The ~
, 4..0pe? o~icg~ in the ofFice where notic~ of intsYno) ~eveova tQx lien was fikd oe
ApP~l 1U~ , 19.~_, a heteby aulhorized to ~ioke nototion
on his books ro show M~e ~eiease of said lien, i~ofat os tfie lien ~elotes to the follow-
ing toxes. _
NAME OF T/1X?AYER j~~= " t
RESIDENCE
3103 -
li.~r... ris:•3~,~0
UNPAID BAUNCE
KIND Of TAX UX PERlOD Et~E~ /?SS~SSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
Io) 1~1 kl td! iel
~
I 9~1 12-33t~o Z-~i-T1 99~-Q945t~0 T1~.?~
Pv?CE oF Ftu~ Ci+~s~t~ CisNit Cw~tt _
it. L~i~ C~t7 ~oT~ s ~,n
~i. !las~~ ~la.
~
~ VYiTNESS my hond ot JSCksonvi l le ~ Fl orida , on ~his,
rhe ls± dop o` June , 19Z~-
SK3NATt1RE TITIE
r,/~ '
V ~ ~ti?13 - / s ~ • ~ ~ r ~ " .
~r~OtE: Ce.~d'icaR. of olRcer oun+a~~d br low ro ~ok. oc~~wwl.dy~+~.~+?s n na .s~.~r~al a v o( Nonu ai F~derd To¦ l~r~ G.C.M
i Z6119, C.d. 1950-51. 1~5.) 33
~ART 3-To b~ vs~d for ~cKdliq pu~pos~s