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Form 668 oer~n~Hr of n~ n~wsun-a~ ~vErK~ sr~wce Fw qp~~w~al ~h. M Reca~n~ O~.
(REV. 1-70) ~ ~ T~ ~ Y
DISTRICT : ~ UMBER ~~=K ~~~t1?T ~0{~T
. ' 224284 B199 P2584 1tE~a4R0 Y[MfiEs
I hereby ceriifp ihot as to the folbvnng-namsd taxpayer the ~equirements of Section
6325(a~. Internel Reveoue Code, have been satisfied with respect to the taxes enu- s~ p~ f 7
merated below, rogether with all stotuFory add'fioru provided by Section 6321; a~d ~7 n~`
thot the (ien for such roxes and stotutory odditia~s has thereby been releosed. The NOV • b
rop~ Qff~ in oi~ice where notice of inbmal reve~ue tax lien was filed on
P" February ~3 , 191~, is heroby authorized to moke notation
on his book: to show the releose of said lien, insofor as the lien relates to the follow-
ing tmces.
NAME OF UXPAYER
r.sr~? a ~l..sa frs,~t
RESIDENCE
3~1i ~r~ ?
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED ASSESSAAENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(a) Ibl kl ld1 l°1
; IO~W 1=-~i1-T0 Oi-i6-T~
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PUCE OF RUNG \
CIlric. CMCU~ COuR TOTAL ~ T~ • aT
~ 8~ lucN Cow~t~t ~
Fort Pieroe
WITNESS my hand at iackson 1 F ori d~ , on this,
s~207 ~2l99f
~e ls t~, of November , 19 72
51 TURE T1TLE
Chief,
(NO ertiBcds of o authorized by law to toke «knowledgmenK is not essedid ro ths volidi~~f Notiu of Fedrd Tax tiee G.CM
9, C.B. 1950-51, 125.)
PART 3-To b~ vs~d hr neoe~n~ Pvrpos~s
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