HomeMy WebLinkAbout0561 _ ~
- 'iG.a~r~IVC7 - - --1-- ,V~l•...,~,', ----=F- -
' - ' F~t`y ~
~ • • • .
~ U. 5. TRf/151/RY D~ARTMBdf . INTERNAL RENEPR/E SEkVICE ?er CWte~e1 Uw b boad~M ONia
hew ii6i
~ «v. ..a~~ CERTIFICATE OF RELEASE Of FEDERAi. TA~ UEN t. uc~ ~
asraicr seu~u ~uMS~x ~OCER P01
~ Jadcaem?ill+~ 158450 B167 P1218 CIERK CiRWIT ~OU~t
` RECOR011ERlFIfO
' ~ hereby certiiy that as to the following-nomsd taxpayer the rcqu;remenb of Sectron 6325101.
I Internal Rewn~e Code, hove bee^ satisfied with nsp~ct to the taxes enumerated below, together
~ with oll stot~tory odditions provided by Section 6321 J and Nwt the iien for wch taxes ond
~ statutory additions has thereby baan released. Ths ~ officer in the oHice re notice of
j internal rovenue tax Ikn wos filed o~ JU1~1 -`J' . 19 ~ is hereby 2;~~~
! ouihorized fo rtake notation on his books to show the mlease of said lisn. i~sofa~ w the tien ~
t
relates b th~ following taxes.
~ NAME OF TAXPAY6t
' Jofm W. ~ Dai,q M~sahal~
i
;
, ~sioa~ oR ~ oF eus~r~ss
i ~0? l~Laa'ida ~wtw
~ _l~srt !'i~rre~~ ll~e~i+d+a
i
~ ~ T~ UNPAID BALAN(.'E
~ (iax Re1um Fonn No.) PHtIOD BJO~ /155ES5l~I1HJT DJ1TE IOHVfIFY1NG NUAABFR OF /~SSESSAIIHJT
~ (a) ~ Ibl Id Idl lel
{ ~ l,~,p ~.j~b~ b-3•6i ~63~-T~! ~ 9~.~
~ ~ ~o ~-~.66 5-~-6T ~3-05-7~! 595•4t
~ '
~
I -
~
i ~
; ,
i ance oF Aur~ G3+~tlt~ t~t+atit Co~
~ SL~ TOT/LL = ~
~
j ~'~rt P~~z~~ !'f/~S+Bt
= i
~
~ -
WITNESS my hand at Jscksonville~ Florida , on this,
the 6th dayof OcCober 19 72 ~
~UOK ~7 PACi
DISTRICf DIRECfOR OF IMERNAL RENB~UE BY ( tur~ TITLE
hief, Special
A J 0'Donnell Jr. ac Durant , rocedures Staff
(NO~TE Grtifimte of offiosr ovthorized by law 1o fok~ sdgrt~nts fs not ~Hai to ths volidity of thts documsrN. G.CIYi 26419, GS. ,
1950-1, 125.)
PART ~To be used for recording purpos~s
_ ' _ = 1;;.' :5 ~ _ ' "
y