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U. S. TREASURY DEPAR~MENT - INTERNAL REVENUE SERVtCf Far Oplowd fM yt~owlliy OMIw
(REV. 1-661 ~ CERTIfICATE Of RELEASE Of fEDERAI TAX LIEN
DISTRICT SERIAI NUMBER 240561 '
i~~~~ 172303 B-174 P-1511
t hsreby certify that os to the following-norr?sd taapayer the ~eq~~~emenn of Sea~on 6325{0),
~~r~,no~ Revenue Code, hove been sotisfied with rsspect ta tfie taxes cnumeroted below, togethe?
w~tf~ oll statutory odditions providsd by Section 6321; ond thot the lien for such ta,ces and
stotutory odd~nons hos thereby bNn releaud. TM proper officer in the offics whero not.ce of
intertal revMue rox lien wos filed orL_ i~Iovember 21St , 1q 68 , is hereby
outF~wized to make nofotion on his books to show the release of wid lien, inwfor as the I~en
?elotes b the following toxes.
NAME OF TAXPAYER
~1~,Mt R. k Ltt~ R. Yal~t~ ~
r~sioe~ oR PwcE oF eus~r~ss
20~ ~t~ 30ti s~t+M~
l~rt rf~sN~ ~7~ul~
QASS OF TAX UNP/UD 6AlANCE
(Tmc Rstum Form No.~ PERIOD ENDED ASSe5511AH~R DATE IDENTIFYING NUMBER OF ASSE55MB~R
I lol Ibl Id ~d! l~l
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lp~lrp 1~-~1-66 6-2-6~ ~}3~'~~ i1~j~~0
i labo 12-~6T b-2~-6~ Z63-~-A~,jO 1,j'r.7z
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~ 240561
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~ fILEO AND HECOROEO
~ !T. ~UCIE UNTY FLA.
ROCER OITRAS
CtERK Cth UtT COURT
RECOP.t1 YERt ED~..~
OcT Z~ I 23 PM'71
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a °F H~"G cLst, ~it oo~r~ r'
S~ L~ TOTAL f~j s7~
~ t~or~ PL~~ t3~e~Y
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~ Jacksonville Florida
~ WITNESS my hand ot ~ , on this,
the_ ~~_doy of (~,~+~hor ,19 '
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SI Gff"I?TURE TITLE
Ja Chief, Special Procedures Staff
TE: rt~f~c~te of o cer o~thorized by low to take ocknowledgments is not essenriol to the vol:~~ty,pfRth' M. G. 9, C.B.
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PART 3-To b~ used for recording purposes ~
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