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0? C~tT~1E OF lBEASE Of ~i TAX IDI F~~EO Aro KECOa .
DISTRICT SERIAL NUMBet r-- RO~E
a
C
TRA~g -
~ p~~ 2 8 5 5 1 9 B 2 2 9 P 1 5 6 1 r CIERK C~:.c:u?~ c O U R
T .
' I hereby certify That os to fhe folbwing~nomsd ta~a~r~er the roquiremeels of Section RECOP~ Yf ~~f ~EG -
~ 6325(a), Iniernal Rev~ent?e Code. Fw~?s bee~ ~aiisfied wiih msped to the twces enw ~
a~~ ~ ~ ~ 63~~: ~ t3 ~4 5z aw ~ ~
~ thor tt,e ~ie~ for such taxes eed sta+utoq? add'~Fio~ ~the?ebr besn roleosed: The
proper o~ iq the oHice where noiios of imbrnd re~rawe tax lien wos filed on . A
, y. t,~ t n , 19.~1~, is hereby audwrized to make notation a7bs
on his books ro show the releas~e of ~id lie~, insofa~ as fhe lien rela~es ro the folbw-
ing tmces.
: NAI+AE OF TAXPAYER
F0~ P1~~t Ca~At~~D~
RE9DENCE
' ~ ~ ~
UNPAID BALANCE
~ qND OF UX UX PERIOD END~ ASSESSMENT DA7E IDENTIFYING NUMBBt OF ASSESSMENT
'i la) ro) kI ldl lel
~
I 941 l~-~-T3 0~4~?W~?yt - 2~'8Ct
~
s
f
~
~
S ~
~
~
~
~ _
~
~ PIACE OF FlLING t ~,r
~ ~ j,~ ~ - TOTAL ;
'z Pt. Pi~~at~ P1~. 33~0
~ .
~
~ Jacksonville Florida
.WITNESS my hand at ' , on this,
~
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~ ~ 16th ~r of July , ~q 7G
~ -
~
~ SIGNATURE
Jack Dura Chief, Special Procedures Staff
~
~p~p ~ o~~ ~r {av~, to taks ockrwwlodgmenls is not essentid to the roliddy of Notice of Federd Tmc L'een G.C.M
~ 26419, . 1950-St, 125.) • Q kb
; PART 3-To b~ usod fw reeordieq Pv+Pos~s BOQ!( ~rW PACE ~V
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