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. , . . _ "i. . _ ' _ _ ~ . ~ _ . . ~ . . . ~ - - . , _ . . ~-.._r - ~ . . _ . y~ Y - - ' F~ ~ - ' U. S. TREASURY OEPARTMENT - INTERNAL REYENUE SERVICE r Fa 0?r~aal Ux 8~ R~cadrp OH~ce (REV. d-671 ' CERTIfiCATE OF REtEASE OF FfDERAI TAX tiEN p ~KO RE4 . DISTRICT- SERUL NO. ' , tlCl~ CObN~ ` !'l~e~ ~88655 H 182 . P 115`T ~OCER POITRAt D 1 hereb c~Hif thot os to tM followin ooa~ .fox •r the uireeNMs oi S~ction Q«~ C~R~1~iT rr~ r r ~r a R b VER~f1E0........~. 63Z5(o), l~t~mol Rev~nw Cod~. hove b~~o sqfilfi~d w~tF respect to tM tox~s equ- m~roted ~lo+?, to9~fh~r with oll stotutoryr odditioos provided by Section 6321; and 9 ~~~~,I that the ]ien Fo~ such toxss ond stotutwy odditlons las thereby been nleas~d. The ~ p~op~r oifiesr in ths offic~ whtr~ notice of intsrnol r~venw tax lien was (il~d on Ji~tl? ~ ,~q 70 ,,ts Mnby aut6wi:~d to ~ok~ nototion on his books to show ths r~l~os~ oi soid liNi, iesofar os thir li~n r~lotes to tM ~ j followin~ -~ox~s. _ i NA6AE OF TAXPAYER r ~ ~ ~ a ~ ~ ~ ~ ~ ~ ~ ' j RESIDENCE ; ~ ' ~ ~ ~1 ~ ~ 1 CLASS OF TAX UNPAID SALANCE ~ (Tax Rsturn Fwm No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF A55=SSMENT (a) ~b1 . (e) (dl le) ~ ~ ~ ~ ~.,~~j la•~b.y - T~Or]~6 ~ , . ~ ~ . ~ ~ ~ { ~ ~ ~ _ f ~ ; ~ ~ ; - i ~ i i ~ PLACE OF FILING - . ~ ~ ~ ~ TOTAL S T,~I~~ ~ ~ ~ T~ ~ l~i~ ; " ~ WITNESS my hond at Jiabo~111~~ !lolids o~ thi s,. the dey of ~1 ~,19 ~ SIGHATURE TITLE ~C Cb~t PlOO~i~i ~t OTE: C c~h d effieN ovt ~:•d br le+ re rek• ackn.wl.d9w~n~s is net ~ss~Mi~l to +~~~ih ~f NMit~ J F~I~.~1 Te: L~ G.CaI. 2d119 . . 19SDS1, 125.) ~ j~ ' RT 3--To M ~s~d for ntonli ~A ~ P ~ _ . ; < _ ~ _ ~ _ ~ti ti ~ ~v ~~,~~N . . ~_~--y -