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I - U 5. tREASUICY ART~T - IMEIRJAL REVElNE SERVICE fw OpKowd IAa h t~cad7M OHk~
hnw 66t I~?0
(REl/_,4-65) CERTIFICATE OF RElEIISE Of fEOERAI TAX UEN
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8159 P200 LED +'•tCORDEO~
~ ~~!"1L COUNtY •
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~ ~ hereby csrTity thof as to ihe following•namad fmcpoyer the requiremenb of Scdion 6325(al. ~K i.UIT ~iOURt
I Inter^al Rawrws Code, have been wtisfied with rosp~ct to the to~es enumeroted beiow, togetns? C~E~ u~F+f'~
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M,;;h a~~ stafutory odditions provided by Section 6321; and that ihe lien for wch taxes and ~
stawtory odditions has iherebY been ~elaosed. The propet officer in the o'rfice where nofice of
~ 1 Il 09 PN 73
internal rw~nve tox lien wos filed o:~ November I6_ , ~q bf1 , it hercby
authorized ta make nototion on his books to show tM release of wid lien, insofar as the lien
! refores to tht iollowiog toxes.
~ ~ T~,?,~ 2S'7519
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51T 11• 1Ttl~ 9reMt, t~a~r+s~, T~oa~+ia
~ ~ T~ UNPAID BAIANCE
i (Tax Retvm Fonn No.) PERIOD BdDED ASSESSN1BJi DATE IDEf1TiFYING NUMBER OF ASSfSSMBJT
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PLACE OF FlUNG ~
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TOTAL
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~ WITNESS myhand at Jacksornille, Florida , on ihis,
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~ the 24th ~Qyof October ~ ~q 73
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~ DISTRIGT DIRECfOR OF IMERNAL REVBJUE BY (Signatvre) TITLE
~ : i< < ~ „ ~i Chief, Speciel
A.1 O'Donnell, Jr. ,jec Durant Procedures Staff
(NOTE~ Grtiflcaro of officer avthorized by Iow to tolci
o7cnowledgmenb is not sssential to N+s wlidity oF this docurnent. G.GM. 26419, C.B.
~ 1950-1, 125.~
t 1252 kd s
~i enr,, . r {f~ PART 3-To be used for recording purposes
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