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Home My WebLink About0614 ~ - _ _ , . - - _ ~ - - ~ - - - - _ . ~ ~ ~ - ~ ' fo~n 668 oEMRTMENr oF tME 1lEwStMY-adiEtiliAt REVN~IUE S~YKE Fo. optionot u~e ~ Reco?~eQ OMo~ ~ (REY. 1-70} C~~u~ ~ ~ ~~wlT~ ~ ~ . DISTRICT , SERIAL NUMBER - . ~ ~,~~,b,~ u~i2~ a~93 Mi66 ~ ~ t hereby certifp that as to the followin~name~ toxpoyer the requiremeoh of Seci~en j 6325(0), Internal Revenue Code, have been sotisfiec~ nnfh respect ro the Mxes eiw- merated below, toeethx w~th atl stotutory odd~ions .provided b~r Section 6321; and i Nwt ~hs lien for such roxes ond sto~urory addifions hos thereby been.released. The proper ofi'icer in the ~e wF~e no ' ~f mkrnol revenue tax lie~ was filed ,on - ~ Jwf~s ~3, , 1~1 a heroby outhorized to ~~iake notat~o~ on his books to show the rdease of said (ien, insofar as the lie~ relates ro the follaw- ing Tmces. v ~ ' NAME OF UXPAY6t . ~a ~ RESIDENCE ~ ~~r~ ~ ~ i ~ UNP/UD BAt/1NCE . j KIND OF UX UX PERIOD END~ /1SSESSMENT DATE IDENTIFYING NUMBHt ~ OF ASSFSSMENT ~ la1 (~1 ltl td1 - ~l . ; ; 30yo 1~-3ti-is ~•1r i~iT-iO-I~~ ~ I~ ' 254608 ~ ~ - ` ; - /1LE0 e~0aE ~ ~ ; - fT.IUCIC COUMTIr . ~ CtE KcC ~CUIT ~~,p ~ ~ ~ RCCORO VEp1s~E0 ' ~iw 1~ 9 ~ 'T3 , - _ i ~ ~cE oF Aur,c CL~ic, Ofs+wdi Ow~et , ~ ~ Q~~r TOTAL s ~ ~ ll~t ri~s~s' 1~I~~a ~TME~ ~ ~ Jackaa?ville. Florida , on ~h;s, ~ 15th f x.y 1973 the doy o , SIGNATURE , - TITLE ~ G~Grf~ ~c-ta J Duraat Chisf 8 cial E=ocsdures Stsff (NOTE: " ote of oH'ica avtFwrized bp law to roka ackrawled9ma^h is nd ase~id to the vdiddp of Notice d Federd Tax lien G.C./rl ~ z~.~9, . . ~9~-5~, ~~5., a R 214 ~~5 PART 3-To b~ us~d ion c~or~wg pwpos~s g00K • - - . _ ~ n - .