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' U. S. TREASURV DEPARTMENT - wTEaN~~ REvENUE SERVitE Fo. Owioesl Us~ Bp Record:a~ OH~c~
' ~ Ev CERTIFICATE OF REIEASE Of FEDERAL ~AX LIE~1 itlrio ~E C `
; DISTRICT SERIAI NO. ~~~p ~01 !l1?f 1!
~ ~LOItIpA 237665 s205 ZSl7 CL,ERK CIR~~T Q~~T ~ v
; I har~br c~~tily tlat os to th~ following-nom~d toxpoyer the requwe~++~nts of S~ction !t~G0~0 YEp~~~E~+"'~"~r
~ 63T5(ol, Int~rnal R~vtnw Cod~, ha~~ b~~n sotisfi~d wit6 respec~ to the toxes enu- ~
~ m~rot~d b~low, toy~ther with oll stotutory odditions provided br Section 6321; aed ~~j ~
~ thot th~ lian fw such to:es on~ stotuto~r odditions hos thereby been r~l~ased. The
~ prop~r officer in tl+~ offic• wber~ notice 1jf internol ~evenue toz lien wos iiled on
~ ~pt~~er 8. , 19 7` is heroby outhorized to make norotion
on his books to show~th~ r~lease oi said lien, insofar os tl~e li~n r~lates to the
followin9 tox~s. .
~ NAME OF TAXPAYER
~ Harold 1t i ~arbasa ~isb~s
RESIDENCE
j 8S0 Solas ~v~ta~s
CLASS OF TAX UNPAID BALANCE
~ (Tox Rtturn Form No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
~ (01 ~b) <<) (dl (e)
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! 1040 Iaco~e 12-31-69 04•?~t?-72 O10 07 6Z79 2,712.OS
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PLACE OF FILING
~ Clerlc, Circuit Court ToTA~ S 2,712.05
~ St. Lttcte Coant~
~ post li,src~ Elorida
WITNESS my hand at da~ksoa~ill~ YlO~clda ~ , on this,.
t4,e 27th doy of Mstcb ,19 73
SIGNA RE TITLE
ac raat f ^
OTE• ~~f~sor. ef off~c•r a,+her~ud br lo.. r,, toke ackna..ledymems is not ~ssen~iol to N» roliditr ot NWit~ e( F~dtrol To: Li~n G.CJiI.
, C.B. 195051, 125.)
~@~X PA~ PART ~To b~ used for recording purposes ~a