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~ fom+ 668 oN~RT1MENt oF n+e nlEwsUln--MEq~u?~ ~VENUE ~VKE , Fo. op~orwl uae M R.co?d~ng olFc.
' ~~v ~ao~ C~THCATE Oi RBEASE OF fEDQAI TAX LN! :~tu~~?~to
flj~~a~
! Z04S16~k190 Y~418 ai.ER~c ClacwT ~
~ the r uir ts of Seciion ~~'~4 ~~~~Ff~@~
~ 1 hereb~r oertify that a: ro the following-named toxparer eq eme'1 .
~ 6325(a),`. Internal Revenue ~ode, have been s~isfied with respecf to the taxes enu- i'
~ m~mted belcw, ~ogether with oll stotutory odditioos provided by Section 6321; and !
~g~ he ~
~ tiwl ihs ~lisn for such roxes and srotutory additions has 11~eby been ~eleased. The ~
proper o~x "n the oi8ce e no f iniernal revenue tex liee was filed on ~
I l~sbsuasy 1~ ,~t'90°7~ , a he~b~, authori:ed ro ~?+iake ~omta~ ~
i on his books ro:how the releose of said lien, insofar os the lien relates to the follow- ~
ing tmcas.
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UNPAID BALANCE
+ KIND OF TAX UX PEWOD ENDED ASSESSMEN? DATE IDENTIFYING NUMBER OF ASSESSMENT
{ ~o) , rol ~~1 Cd, `el
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~ PLACE OF FIUNG ~s ~
~ ~ ~,Ii TOTAL s i~a~.~S
~ Tt,. ~l~w~~ ZL~slrli?
WITNESS my hand at Jackaonville, Florida , on ~h~s,
the 29th ~r of Aprii 19 74
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SIGNATURE TITLE 3
~
J raat Chief, Special Procedurs• Suff
(NOTE: CertiFcade oF oA'icer ovthorized by law to take ocknowledgments is not asentiol to the validity of Notice of Fede~ol Tox lien G.C.M.
26419, C.B. 1950-51, 125.)
PART 3-To b~ used for ?ecordin~ purposes
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