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' Fom~ 668 oenu~t,~rn oF n+E n~wsuer~~ruu eEVCr~ ~ ro. opbnd U~e er Rec«~.g or~.
~REV. io-») C8~T~IGTE OF REIEASE Of FED~A~ TAX L~N fIlEO ahU RfCOROED
DiSTRICT SERIAL NUMBER ST. ROGE P.C~e~ITRAS ~A~
,1~~~Jiii 269595 l~221 P1255 CIEP.R Cir.~uif CouRf~~
i he~eby cernfy N,a~ as ~o r1,e fdlow~ne-~omed ro~oyer N~e ~eyw~eme~?rs of sec~on Rf.COF,O Y~';;FZ~J~~
6325(0), Inlernal Revenue Code. !?ove been satisRed with respect ro the taxes enu-
merated below, togethe~ with all stolutory additions provided by Section 6321; and ~ ZO PM
thot the lien for such taxes and statutory additions hos tF~reb~r bccn releosed. The -
prope~ o~ p e oMice where notics'qf inier~al revenue tax lien was filed on ~p~y~~~
a~d 30 , 3,~s hereby aufho~'ized to ?Aoke notation IGrO I
on his books ro show the releosa of said lien, inscfix as the f'~en relates ro the folbw-
ing Mxes•
NAME OF UXPAYER
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RE51~ s~
t.~t r~•.w ~
- uNPan ~cE
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDBJTIFlfING NUMBER OF ASSESSMEM
' la1 roI kl ld) Iel
1~M0 li~l.69 06.Os.?0 26Z.~~ f S.~Lj3
~
PIACE OF FILING ~
~ ~ TOTAL S
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wsTNESS my hond at Jacksonville, Florida - , a~ ~a.
rhs 16th ~y of July , 19 74
SIGNATURE , TITLE ~
~_.L ~ t 4,`/~ Chief , S ecfs 1 Yrocedares Staff
Jack Dura
(NOTE: e of ofPicer aurhor~zed by law to take ocknowledgmenls is nd aserdid ro the volidity of Notice of Fedetd Tax lien G.C1N.
2611. , C.6. 950-51, 125.) ks
PART 3-To be used fo~ recordiny purposes
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