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(REY. t-70~ CER1lKATE Of R~EASE Of EEO~AI TAX LDI f1LEO AMp p~E~
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DISTRICT SERU?l NUAABER bT.1.11C1E C~,W,~M
~ Jackson:•ille ~aak ' Fa e 2 ~ ~~~~~t~ ~
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1 hereby cefify thot as to the folbwinp-nam~d taxparer ths roquue~~nts of Seclion R~CQRD V~it
6325(0). In?ernol Revenue Code, have been ~alisfied with ~espsct t~o ths taxat enu- ~
merated below, togetF~ with all ~ory odditioos provided bp Section 6321; a~! ~ 4~~~~
that ths lien for such taxes and srotutory oddifioos has therobr bes~ releosed. ihs
~ pro~ olRcer in ths office where no!~'g ~of intsrnd' ~eva~ue taz lien was filed on
Oc `obe r 3 ~ . 19~~, is henby outFwrized to moke nototion 216145
on his books ro show the ~eleose of said (ien, insofar us the lien relabs to the folbw-
ing taxes.
NAME OF TAXPr1YER .
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Be rr.io 4. ~C :~,ar ~ orie D raz I
RE9DENCE
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qND OF TAX TAX PERIOD ENDE~ ASSESSMENT DATE IDH~RiFY1NG NUMBER OF ASSESSMENT
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I'" , _~c'. : -~.3-75 7> 7: ~~~j~y~, ~ 1!t~t. ~2
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PIACE Of HUNG
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~ WITNESS my hond at "„ny; a~ " 1 ~ rEa on ihis;
the darof :,ec~eT`~e: 19''I 40~(~~ PACLiI~
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5lGPlI?TllRE T1TLE -
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(NOTE: C~tiFcaN d by low b tak~ ~ts is no1 srnbd b th~ voliddp of Notia of fe~rd 7aor t'an G.t.M. ~
26419, C.B. 1950-S1, ZS.)
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