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~ ~g oerw.w~n~rrr ~ n+e n~wsver-rrt~e+ ~ve~+uE ~E Fo. op;ond u,. y R.c,nd„p p1Ro.
i l~ ~-~01 tHt1iIG~ Of REt~EAfE Of TAX UNi
; asr~.~ s~w. Nu~t ` ~ t
?4Z403 8208 PI238 ~ ~ ~t.
. I hereby certi that as ro ths fdlowing~~amed roxpa~rer the roquiremenis of Ssction 1~ftORp Y~l~f~f~
; 6325(u), Interno) Revenue Code, hwe bsen soAsfied with mspect to the toxes enw
merated below, togelher with all stututory addtia~s provided by Settio~ 6321; an~d '~~~T3
that the 1'ien for such taxes and staturory additioos has tMreby been roleosed. The
~ proper ofFic~ in tf~e ofl'xe where notice of inteRwl revenue bx tien wos filed on
November ~l . , 1972 , is hereby auihorized to moke notatioo e~p~y
on his books to show the rolease of soid iieo, insofcr as tha lieo relates to ths follow• o~~tiV ~ 9
ing tmces.
NAME OF TAXPAYER .
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RESIDENCE
~~td~
UNPAID BALANCE
~ KIND OF TAX UX PERIOD ENDED ASSESSAAENT DATE ID6YT1FlfING NUM66t OF ASSESSMENT
la) lbl (~I Id1 ~ tel
10~0 12.~].-71 5.29-71 3~-9m6'S ~Z.~.e9
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' ~t~ TOTAL f Z~~
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Fatt Pfaros
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; WITNESS my hand at - 7a _ksonvi 71 F7o ~ da ~~~a~ .
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` the i~t~, ~y of A~~qust , 19 73
s SIGNATURE E
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~ ack Duran Chief, Special Procedures S~aff
_ (NOTE: Cutificole of ized by law ro rake ockrwwledgments is ~01 e:sentid b rM vdifiiy of Notic~ of fedsrd Tmc tien G.~.M
26419, C.B. 1950-
' BG~K / PAGE25~~ P~ 3--To b~ us~d fo? nco~ purpos~s ss
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