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I Fonn 668 • oEn~r~r~ oF n+e n~~win-a~riE~ ~v~n~ ~ ~ Fo. qpr~o~w1 W. R.oo?d~p d5c.
~ I~ '••~01 CERTiKA1E OF RBEAiE OF fE0l~AL TAX l~! .
if.~~
'`coir~ii;
I pISTRICT • SERUL NUMBER
1 ~ ~ ~ REC~ ilElU
1 heroby ceriif~r ihd os ro the folbwing•oamsd to~a~ the requi~emeMs of Sedion
• 6325{a), Internal Revemre Codt. hove bssa satisfi~d wilh respact ro the taxes ~ '
~ me~oted bebw, togelher with oll sbtv~ory odditions provided b~? Sectio~ 6321; and ~ 3~~~! ~
thot the lien for wch toxes ond srotutory oddi~o~u hos M~a~? b~n r~e~ed. The
~ oflicer in the oiFice where notioe of internd ra~renue tax lien was fded on ~
e ~r
' ee s~be r 9_ , 19~0... a hec~eby auMwrized to nioke norolion 11
o~ his books ro show ths rolease of said liso, insofar os H,e I~ relo~es ro N,e fdbw-
, iag tmces. - C ~J"
; NMAE OF T/1XPAYHt ~ ~,~N
~ ~
~ RESIOENCE .
~w~ j
i
~
? l1NPlUD 811LANCE
~
~ qND OF UX UX PERIOD ENDED ASSESSMENT DATE IDENTIFlfING NUMBER OF ASSE",SMENT
i ~ (al NI k1 ldl (el
~ ; 3~ , ~ ~3~~ S~r ~~~-~W
;
PucE oF F~uric QSs~wll0w~t
. ~ TOTAL s
~4 t~~~
z
~nnTNESS my hand at Jacksonville . Florida ~ , on ~t,~s,
.
the Zs± dor of Jnne , 1931
SIGNATURE T1TLE _
Jack D t ^
(NQTE: Cert~f'icd~ of oi, ued by law to toke knowledgmenK ~s nw as~en~~ to the vol~dfir oQ~c~~d T~l»~.M.
26~ 19. C.B. 1950-51,
~
- PART 3-To b~ us~d fo~ neordiep pu~pos~s .