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; . Form 668 OEP/uiTMEt~t' OF iHE ~kEAA/IlY- TERNAt REvfhUF SERYlCE fw OFlr_no1 Uae By Raordng Qffice
, f~EV ~.~oi tERTl~IUTF OF REIEASE Oi iE08tAl ~AX UEk ~C
, DtSiRI SERIAL NUMBER
21~833 B196 P2025 ~ A~ ' ~
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1 hereby certify thot as to the following-namec! taxpayer the requ~rements of Section ~~ppD YER
f ~ Q`'
6325~0), internal Revenue Code, have been sotisfied with respect to the toxes enu- w~-----~
meratec! below, together wiih otl ssatutory additions provided by Section 6321; and
that the I+en for such taxes and sfoiutory odditions Iws thereay beer~ released. The
proper O~~ne 24f~'Ke where ~otice~Qf internal revenue toz lien was filed on 2_ ~',y~
tf ~ i 9 I, is here6y authorized to ntialce nofafion 238s13
on f~is books to show the retease of said fien, iruofar os the lien relates to ti~e follow-
ing toxes.
NAME pF Ti4XPAYER
s~a~ D. nozz -
RESIDENCE
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; 1't. ri~ote~~ l1a+~~0
uNPn,o eAUwc~
KIND OF TAX 7AX PERlOD ENDED ASSESSMENT DA7E IDENT1FYlNG NUMBER OF ASSESSMENT
_ (o~ ro) (d) ~e~
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PlJ?CE OF FtLING ~„t
a;" ~ TOTAL s
~ ~.~'~6~~ ~i •
wITNESS my hond ot Jacksonville, Florida , on ~h~s,
29th ~Y of September 19 72
~
S1G URE T1TLE
r n Chief, Special Procedures Staff
( E: Cat;6cate of oH'ic vtlwtized by !ow to toke acknowledgmenh is nd eueroid to the volidily of Notice of F~dad Tax lien G.C.M
6119, C.B. 1950-51, 125.)
PART 3-To be used for ?ecordin9 p~rryos~s ~?GX~ i'~jif ss
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