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! I _ ~ _ - ~ • _ _ . . _ . _ ~ ~ ~ . . _ . Fam 668 oEriurr~xr oF inE nf~suer~r~ eEVErn~ sF.~E ror opno~wl va. M Reoo.~^y ol~o. : (t~v 1-70) •tF~TWCATE Of ~ELEASE OF FEDdt~l TAX t~N ~,o~~Q Itf ; ! p~~ S¢RIAL N~IMBER ~"iRc~a ; 230176 2 2 CLERK C~RCtli? ~ 1 hereby certify thot as ro the following-named taxpaYer the requirements of Seciion RECORO YERtFiEO 6325(oy. Internal Reveoue Code, have been satisfied with ~espect b~he taxes enu- ~~i 9 is ~'1'1I meruted below. Mgether with all statutary additions provided b~r Section 6321; and ~ flwt the lien for wch taxa and statutory add~ions has tt~ebp bea~ released. The prope~ oiFicer in~ oN'ioe where ndioe of iMernal ravenue tmc lieo wos fik~ on ~~a~IGr~ MsY 25 ~ , 19_IZ, a~~Y outhorized to dioke notation on his books to show the rolease of soid lien, insofar as the lien relotes ro the follow- ieg twca. ' NMAE OF TAXPAYBt - a: ~ a.~r• • ` a o..r.r ' ~sro~~ M04 l~ ~vr ~ a~ o~. . UNPAID BAUINCE~ ~ Klt~ OF UX UX rERiOD ENDED /ISSESSMEM D/UE IDENTIFYING NUMdHt OF ASSC3SMEM ~ ~ ca1 ro~ k~ b~ - a~ ~ ~ I ' 9~ y-~ 9g`'t'~9~'~ s' _ ~ ; • • ~ ~ ~ ~ ~ { ~ ~ ~ ~ ~ ~ ~ ! .r ~ ~ ~ ~ H/~?CE OF HUNG ~ . ~ i~~L`OtM~1ly TOT/1l s Ss~~•~ ~ Fat Ffortd~ ~ wlltvESS my hond or Jacks~ nvilla Florida , on rh~s, ~ ao~~ ~ ~ ~ ~e 7th ~y of July , ~q72 ~ ~ ~ SIGNAT E ~ Chief ~ ~ (NOT ur~6cae of of~cer ourhor~zed by iaw ro ~ake ock~owledgments is not essential to tbe valid~ty of Notice of federol Tox tien G.C.M. 9, C.B. 1950-51, 125.) M , ~ PART 3-To b~ us~d for rocor~ng purposes > _ € ~ , ~ ; - _:~.~N~~-"«c. ~.:~.s.~ ~ - -