HomeMy WebLinkAbout2338 _ _ _.,.._.__M___.___.___.. .
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Fom~ 668 oErNtr?~r~r oF t~+e n~ww[v-a~+rfa~ eevetrt~ seance fo. Opiond Uee
, (REV, 1-70) CNtT~ICATE Of,REtEASE OF fEDQAI TAI(1~1 5. LtM1E C 1?
DISTRICT SERIAL NUMBER RO~Eit P01TRA=
` IlECOR4 VEA f1~E0 ~T
' i hereby cettify that os to the following-nam~d tuxpoyer Ihe requirements of Section -
6325(0~: Intenwl Revenue Code, hove been sofisfied with respect to the taxes enu- ~ 9~ ~~~~t ~
: merated below, together with all stotutory addifioos provided by Sec6on 6321; o~d ~
thot 1hs lien for such taxes ond statutory odditions has thereby been reicosed. The
o er the office where notic ~nternol revenue rox lien was filed on -
~~J~y 2~'~ , t 9~~ u h«ebr, awhori:ed ro M~ke rwtonoo
on his books to show the release of said lien, insofor os the lien relabs to the folbw-
ing taxes. ~
NAME OF TAXPAYER ~ -
? Y Or~t i~ Q 01~~t, ~ ~
RESIDENCE
~
' UNPAID BAUNCE
~ KIND Of UX TAX PERIOD ENDED ASSESSMEM D/1TE IDENTIF1fING NUMBER OF ~S~ShAENT '
~ tal rol kl (dl (eI ~
f ~ +a~ew~s.~ ~.~s.~ ~.u~» ~ ~
' ; ~t .~err~ s~ai s~.~ra~ws ~s.~
~
! ~ !~i l•,i•70 i,i~•71 ~~Ii~i l.i~
i
~ l~1Z l~,10~?! ~ ~ l~•il l~•~T! !.M
~ -
!ii v!~llrsii~ l~•~i•~i i~.ii•~Tl !l~I~Mi~f i.7~l.i~
. ~ii 3i•~lir~70 4•l•~l ~~i~i
~i11l~~if~ 1iw1i.'r i~1i•i1 ~.3~
I
~ ~ ~ ~
~ ~ ~ ~ ~ ~
~
~
~
; PLACE OF IUNG
~ TOTAL S t
~
~
~
~ WITNESS my hond at Jacksomrille , Florioa , on ~h~s,
~
~ ihe %`~1 doy of :,e Ct@riDe:' , 19 ~1
~
~ at~o~c~~ ~
~
~ SIGNATURE 11TLE
~
~ a D an* ::hief ~neciaZ Proca~ures Staff
~ (NOTE: Cernf~co~e of o a v~ ~ze by iaw to lake r•cknowleclgmenh ~s nd e:se~hol fo the vahd~ty of Nohce of Fedarol Tmt lien G.C.M
26I19. C.B. 1950-51, 25.)
PART 3-To b~ s~sad for r~cordin~ purposes ss
~
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