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Form 668 uEr~r~rr oF n+e n~wsuer-NrEewu ~vENUe s~+ncE For opnw+d v~e ey Reoordrg or6c.
~~v ~aol CdtT~1UTE OF RELEASE Of FEDBtAI TAX UEN
DISTRICT ' SERIA~ NUMBF,it
~R~ ~ 239107 n20l~ p2673 C~Rti ~ 1
1 h~by c~ify ~har os ro rhe folbw~n9-rwmsd taxpoyer rhe requ~re~er?n of Sec~an a_,
6325(a), Internol Rerrenue Code, hova been sat+sfied with respett to the laxes enu-
merated below, tc~BetF~er with ail stututory additiau provided br Section 6321; ond
that thn I'~en for such taxes and statutory odditions has tl~eby benn released. The
n ofi'ioe where no
h"~~ mlernol revenue tax lien was filed on ~ 3 7
~~C~~ ~ ~ lq ~ is heroby authorized to maka notation Nor~ .t 3
on his books to show H~e release of said lien, insofa~ as tha lien rtilates to ths folbw- 7~
~9 ~
NAAAE OF TAXPI1YBt
~ss L s awMr J a~tth 269~31
r~~o~r~cE -
itii 8outh 3~ 9~rNt -
Tw~t Pi~ce ~Rarrida 33~0 -
u~Pau-eau~
K1ND Of UX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFlfING NUM89t OF ASSESSMENT .
' (a} lb! !c) id1 (el
104f? Incaio~ L'~31:71 06-f~-72 264 06 ~.148 :~,2?8.9r6
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PLACE OF FtLING
I Clol"~[* C1r~iL COtirL TOTAL s
' 9t, I.uc3R C~crb~ 1,2?'8.9fi
wITNESS my hand ot Jacksomrille ~ Plorida , on iha,
' the 16th ~y of llove~abe~' , 19 73
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SIGNATURE % T}TtE
~ ~ c~el-1~~J
Jaclc C6ief, Spacial Procedures Staff
i (NOTE: ti ote cf of~ce? authw~zed by law to taxe acknowledgme~ts is no1 essential to the voliditY of Nofice of Federat Tox Lien G.C.M.
264i9. . . i950-Si, i25.)
, PART 3-To be used for recording purposes Cc