HomeMy WebLinkAbout1141 - - _
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o f:~ ~vg,q~ ~E ra. ~W~ond tbe Reoordng o~ic.
~ 668 T~ ~ .
~R~. ia»)~ ~T~KAIE;OF RQEAS~~is lEDBAI NTY
p~~~ } NUMBER ~ ~ QL ~ K
C_~1CUIT COYIIT
~ .lA.CtC9~3?NtlRE 27Z9!87 D223 P46 ~t~CORD VEMf1E0.-...~. d
~ 1 heroby cefify ~ha~ as ro the folbw~^g-"aR~! roxpoye~ the requi~emenK of Sedion - :
~ : 6325~a~ internal Ravenue Code, Fwve been"~hsfied v~nth respect b the tcxes enw ~ i3 ~
~ merated:below, togeihe~'with all statu~py ad~tio~; provided by Saction 6321; cind _ ~
i ~ that fhe lien for wch taxes and stafuto~Y add~tia~l, has ti~eby been releosed. _The '
f pr'°per ? m the where notiob intern~il ravenue tax lien was filed:on
, ~1~tla1c3? ~ , 19 ~~'y-is hereby outhorized to diake notalion
~ o~ his books ro show the rdease of wid;lien,'irisofat as the lien relotes ro the follow-
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~ NAM~ OF UXPAYER -
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~ ~s~DEr~cE ~/Ot i.~L 1~ItZ
lR.!'~i, lf~.~9Q ' .
UNPAID BAIANCE
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBHt OF ASSESSMENT '
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' ~ !~l ~-l0-~3 l-11i-?3 9l~+~ ~a?'~4•~3
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PIACE OF FIUNG ~.,Lr'.~ ~~~j~
~ ST. LIY;~~ G~1Uh'TY - TOTAL S~ij~.SS
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W/ITNESS my hand at Jackaonville, Florida , on this,
~ 9th ~y of May , ~ q 74
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TITLE ~
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ck Durant Chief, Special Procedures Staff kb ~
(NOTE: CertiF'icote of officer outborized by law to roke ocknowledgmenls is not euentid to ths volidinr o~lv{1R~~~~t~M
26419, C.B. 1950-51, 125.) t
PART 3-To be used for recording purposes
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