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Fen~ 66t U. S. TREASIJRY DEPARTINEM . INTERHAI REVENI/fr EEtV1CE f« Oye~wd 1~ b R~oanily Ofitw
cRev. ..ds~ L'ERTlflCATE OF RELEASE OF FEDERAL TAX UEN
DlSTRlGT ~M~
Jaokao~~~11L 164064 B170 P1065 2
1 hersby certi{y fhot as 1o the followFrg-nomsd roxpoyer the requirements of Ssdion 632510), ~~0~
I~+ernoi Revfnue C~ods, hove been iot~~fied with respsct to the ta~es enumeroted below, togetF~sr
w.th ail stah»ory odditions provided by Section 6321; ond that the lien for svch tuxes ond
statusory odditions has thereby becn re!eased, Ths poper officar in the offia whero norioe of
in•ernal revenue tax lien wus fited on February 5 ~ , i 9 68 , is hereby
aurhorized to rtake noforion on nis books to show ths releose of soid lien, insofar as ihs lien
retates b tiff following tozes.
NAME OF TIIXPAYEIt
~n ~ ~ ~1~1
RESIDENCE OR PI.ACE OF 6USINES~S
lii j Hoat ~ 99 G-
torti Pi~eet TI+or1d~
C1A55 Of TAX 1XJPAID 8A!/JJC~
(Taa R4tum fam No.l P6t10D ENDfD ASSfSSNIBJf QA7E IOBJIIFYING NUMBER OF ~.55~55AAR~i
(o) Ib) ld ldl (.l
3Ai~D 3g-31-66 5*s6~T ~33-fl1~-6~16 ~50?.6~
o
scowirt01~.
~ I~C~f ~o~?MS
C~ERR ClixlilY COYIIT ~'r`
RECORO yfRtEfED~,....~....
Nw ti 1~ ~ ~M'i3
26?860'7
~
ance oF Aur~ C3+~liti Ci7!'+Oait Co~tst tM
SL~ Lli~~ CO'~8~ TOTAL = ~i
POI~t P1~~~ ~o~t
WITNESS my hand ot Jacksonville , Florida on this,
the 15t1~ dQyof Noverober ~~3 "
.
DISTRICT DIRECfOR OF IM6tfJ/4L REVBJtJE BY (SiynaturN ~ TlTLE
~ c~'~l ~-~t 2 u y-z - Chie f, Special
A. J. O Donnell, Jr ck ~rant Procedures Staff
MOTE: GAiNeats of ofRasr autF+orized by low to tab aekwvwT~dqrtienb is not ~sssntld b ths wttdiry o~f thb docurn~Y. G.CM. 26419, G8.
1950-1, 1~5.) ~j'
PART 3--To be used for recording purposes BOOK ~.r~o FAGE ~J~ ~ s s
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