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• Form 668 oEr~~Nr oF n+e n~asv~r~er:~ nEVFNUe s~vice Fo. oE»~o.~o~ th. er Recn.d.g o~c.
~~v ~-~o~ CERTWCATE OF REIEASE OF ffDBGI TAX UEN iiiuciE couriTY Fi~.
p~~7f~~ SERIAL Nt11~18ER ROCER POJ?RAS
246584 dk210 Yg1176 CIERK Ci2CU1T COURT
1 he~eby ce~t~Fy ~hor as ro~he following-rwmed taxpa~?er M~e ~equ~remenn of Seciion RECOR~ vEh~F+Eo
, 6345~0~, Internal Revenue Code, have been sotisfied with ~espect to the twces eou- ~ 3 2 39 PN ~ 1~
~ merated below, together with ol) stotutory add'etions provided by Section 6321; and
~ rhot H,e lie~ for such roxes and stonrrory add76ons hos the~eby been released. Tt?s ~Z~Ba.~ ~
proper ofFicer in the office where noticeLQf intemol reve~ue tax lien wos 61ed on
i ia~n~`~rr,?.~~ , 19 73 , is herebr autfiorized to diake notation ~
on his books ro show the reiease of said ~lien, iruofar os the lien ~elates to the folbw-
i inp taxas. '
~ NMAE OF. TAXPAYHt
~
~ RESIDEIVCE
~s ~M~t ~l~r -
t~~ ~
INVPAlD SJILANCE
KIND OF Ul( UX PERIOD END~ ASSESSMENT DATE IDENTIFlfING NUMBER Of ASSESSMEM
a~ ro~ - k~ ~d~ a~
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~
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~
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P
~
I
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I
; .
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i -
i -
I
I pu?cF oF Rur~c
; ~ - TOTAL :
; ~Ort Piert~. ~loti~
~
WIINESS my hand ot Jackionville Flo7cida , on tha,
the 28th ~y of Mgtch , 19 74
SIGNATURE ' TITLE
Cfl- ~~CLZIc s--~ j'
Jack t Chief, S cial Procedurea Staff
(NOTE: i~cote of officer ov?t~crized by Iow to take ackrr~wledgments is not essentiol to the validity of Notice of Fede~ol Tax lien G.CM
26419. C.B. i950-S1, 125.) A~~ j~
PART 3-To be used for recording purpos~s 8~~` ~~Gr,>
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