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OEMRTMENT Of THE 11EAS11~1f-~i1EWAl 1~EVENUE S~RYKE fvr Op?iwWl Uft Sy Reoordig OKice
t~ ~ol CERT~itATE OF REIEASE Of FED~AI TAX t1EN
f lE ANO RE
DISTRICT SERUL NUMBER i~ COYMTY~
~a? 213266
1 hereb certi ihat as ro the followi namad t tfie uiremer?1s of Seciion CtR01q? COIMT
, y fY ^9- ~ 11ECORD YERIilEO
6325(0~, IMernel Revenue Code, hove- been aotisfied with respect to the taxes enu-
merated btlow, together with oll statutory additions provided by Settion 6321; and s
that the lien for such toxes and statutory odditia~s has thereby been releosed. The
proper oAker in the .ofFKe where notice of inte~nal reve~ue tax lien waa filed on
~uQ_ 2 , 19ZL_. is hereby avthorized to ~ioke notation ~
on ha books to show the releose of said lic~, insofar os the lien relates to the follow-
ing toxa. - -
NAME OF UXPAYER
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RESIDENCE
UNPND BALANCE
' KlND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBElt OF ASSESSMENT
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` PIACE OF flLING
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- WITNESS my hand at Jackaonville, Florida , on M,~s,
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tfie15~L_duy of rch , 19
SIGNATURE TITLE
- J ~ hief, Spscial Procedures
TE: Cut e of oiFicer authorized b7r law ro toke ockrawledgments is no1 euentiol to tha rolidity of NoAce of federal tox lien G.C.M. :
26~19 . . 1950-51, 125.~
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PART 3-To b~ usod for recorditq purposes
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