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f : _ _ . ~ . - - - - _ _ _ . . _ _ - - - ~ - - ~ ' oe,~c~~ oF tnE,~wsu~r-~nt~+~u For op'b^°"b. ey R~ °m°' t iaol ~ C~T~1E 0~ ~FEDBAL TAX L~! • ~ as~nn ~ ~ ~K = ~ ~ ' ' ihat as to the fdbwi Z ipxpa~rsr ths nsquirana~ls of Sxtion - ~ P Rl/I ~ - I hereby oertif~r ~9-~~, 6325(a). Inte~wl R~venue Code. Fwvs bese sobsfisd witl+ ~spsc~ b 1hs toxes °M+' i mKated belaw, to9elF~er witfi oll statulay ocidi'tionspro vidsd by Ssetion 6321 j and . ~ tFwt d~s lie~ for wdi to~oes and ~n? ad~ hos t~ebY ~ releosed. Ths ~ o~i'ioer in the aA'~oe where notias of inlsrnd revenue taoc lisn wos filed on : ~ a ~ , 19~_."is hsr'~b'fi ouNwrinsd to make i~otation ~ j on his bookt ro show fhs rdease of said I'~sn, i~ofaros ths lien nslaFes ro ths folbw- i in8 ta~oss. - ~ wu~ oF wc~?~ ~~:~sisso~a.esa ; ~ , ~ , ~ ~t ~ ~ ~t,sa+~ - ~ . . u~P~w ewwce ~ ql~ OF UX ~UX PERIOD Et~ ASSE55MENT W1TE IDB~tTIFYING t~UMBCit OF ASS~SSIIAEM ~ - w~ c~~ ' ~ ~i+~ft~7s i~iT~ !~-~1~ii~ii ~ t J ~ ~ , ~ - ~ ! ~ ~ i ~ I b I ~ ' ~ ~ ~ ~ ( f ~ I I ~ pu?cE oF Rur~c (:Mrk CI«11t COIRt TOTAL ; sa~ ~ L~t1Ci~ C01~ ; FOR f~o~'~d~ _ * ~'-=~hville Plarida • ~ WITNESS my hond ot ••••.a+- - ~ ~ r t 91 ~ ~ 21st ~y of A4~ust , 19 4 ~ :s } ; 3 SIGNA - TITLE ~ - , k Dur~nt b r edures Sta~f ~ (NOTE: Certi~cde oF oRicer avtlwraed by {uw ~o ~ake «know(cdgments is ?w~ euentid ro the volidiry of Notiae of Federd Tax lien G.C.M ~ 26~19, C.B. 1950-51, 125.) PART 3-To b~ usad for r~cordin~ pvrposos ~d - - _ _ - - _ ~j~. - ^~~~J ~~~:_i