Loading...
HomeMy WebLinkAbout1088 ~ , . . . S- - _ ~ . . \ . . . . T . ' . ' ' _ ~ f wl - ' ~ ~ ~ Fe.~ 6eo U 5 TRE/ISURY DEPIUtTMEidT - iNTEaN~t aEvEr~t SER~~CE so, C;• ;.-o~ u.~ 9. R«d~q orr.« r REY. B•37•~ . CERTIiiCATE OF.REIEASE OF FEDERAI TAX l1EM - 1- ~ ~ ~ISTRICT ~ SERIAL NO. F~~E~ AMO RECOR~EO - 191Q2t, 8183 °141~2 sT. ~uc~E couNTr ' NOCER POITRAt ~ , } ! hereby ce•tify thot as to the follow~n9-nom~d toxporer th~ reQui~em~nts ol S~ctioo ~~ENK CIRCU~? ~~y~ 6325(a), lat~~r+ol Re~e~ve Code, lwve be~n sofisl~~d witF respect to the ~o..:.~~- a coROVEa~f~EO~¦~~~ ' m~rat~d b~icx, to9~~he? with oll stotuto~r odditions pov~ded br S~ction 6341; ond t ~ thor ~I~~ ~ien ior sucF. to:es ond siotutay additiens las thersby besn .~I~os~d. The 13 8~011~ T i 1 j proper off~t~: in the ofFice ~her~ notice ~nter~ot revenu~ to: lien was f:l~d on w O~~ ; M8Y'Ct1 1~~ . 14 ~s I+~r~by outhwis~d to nake norot7on 1~ on h~s books ro show •he ••I~ose oE soid liee, insofor os the litn ~~lo~es to tM Followiny to:~s. ~ NAME OF TAXPAYER ~ ~ ~ ~~1 ~ ~ REStDENCE ~ ~ ClASS OF TAX UNPAID BALANCE (Toz Re~urn Form No_} PERIOD ENDE~ ASSESSNlENT OATE fOENTiFYING NUMBER OF ASSESSMENT (o ) (b) (c ) (d l (e) ' Lo~ro is-~s-4~ 1~.7-i9 =,~i-~?-67~0~ 3.i~1•3~ ~ 3101ro 3t•)i~•61t ii~T-6I 2~r-0~l-670i ~ai~i.01~ ~ 3t-~3~65 1~7-f1 !~-0?-i~0i ll~t~ ~ PLACE OF FILING~ C~*t ~ ~ j~~ ~r T OT A l S l3. n~0lN~ ~L• - +v1TNESS ~y hand at Jacksonv: I1Q . Florida _ on rh~s, :ne ' ot doy of ne, , 19 71 - SIGKATURE TITLE d~=y, ~ Chiaf, Spacial Procec3ures :3t.aff '1i;'jTF: G.~~(~.oa d . lo.r ro ~o4e x4o wI~AylneMf no~ ~s~en~~ol ~o ~M •ol~d~ry o~ Not~c• e( F~~e.ol Ta• l~~n G.C 1M. ZM19, C.B. 19505l, I25.) o R 19~ i~? Q9 d4Q~ PART 3--To b~ us~d for r~co?di~y purpos~t