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Home My WebLink About1089 _ _ _ _ . _ I ~ ~ ; , F~ ~~t ~ U. S. TREASURY DEPARTMtENT - wTERN/?l aEvE?~dE SERY~CE Fo. qp~e..t uw B, R.ce.I~ W'~~. ' iREV. 8-67? CERTIiICATE OF REIEASE Q~ fED~RAI TAX LtEN f~~EO ~rD~tr ~ DISTRICT SERIAL NO. sT-L~E ' iMio~w123+~ 19E~It91 197-1T8 toc~R ~~'s ~ Clfll~ 6tR~ ~T 1 heraby c~rti(y that os to the following-nomed toxppr~~ th~ r~quirem~nts of $ection ~~,~R~rER~fl~O ~ 6325(01, (of~~nol Rov~n~~ Cod~, Fwve b~~n sotisfied with r~sptct to the tox~s enu- ~~~l~~ a~~rot~d b~icw, toy~ther witl? oll stotutwr odditions provid~d bY Section 6321; aed ' tFwt tF~~ lie•. fo~ such toxes o~d s~otutwy odditians hos th~reby been rel~os~d. Th~ ` 8_30 p~opt~ ofFicer in tM of(ic• wh~r~ notic• of int~rnol revenw tox li~n was f:l~d on ?~M ; SAt~~.@b1bA2' 16~ , 19 7Q , is h~reby outhoriz~d to moke norotio~ ~~v~ on his books to show the ~eleus: oi said lian, insofor o: the lien rebtes to tha foilowinq fox~s. NAME OF TAXPAYER ~ RE~IDENCE ~ ~ ~ CLASS OF TAX - _ UNPAID BALANCE (Tox Ret~rn Fonn No.1 PERtOD ENOED ASSE_- 53~IENl DATE IDENTIFYING NUMBER OF ASSESSMENT ~ , (a1 (b) k1 id) (e) I ~ 2+0~0 1Z773•~ "~-1~•~0 1~0'-a~M1Q~9 ~ 3 , GLACE OF FILING ~ CLl~t ~~r TOTAL S 1~~+?e~ ~ ~ • . ~ ~ - ~ WiTNESS mr hand at Jackson~illw, Florida on rh~s, it,e I~ !h doy of ~Il~D@ i4~__ ` _ 51GNATURE ~ TITIE . - : 'I :t~;,ris _ ' _ _ ~ . . - -t- _ .~t.~-_~hiQS. :i~nci 1._pmCB~~~rc~ 5t~°f 'NOTE: G.~~t.wr~ o~l~cs. ov~:w~~:~d ty Io.. ro roL• ')C~IfO~IJOQT~.iIS nef ~~~~nt~ol ro ~I» .ol~d~~r o~ Na;.~ si F~daol ia• L.~n G.C.M. 2~,119. ! B. 17S4S1. 12S.i 193 1088 ~ ss 40~ IART ~To be uasd for r~cordiny purpos~s - .