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. . _ - - - - - _ - - , - - - - . _ _ c ~ ' -aJ1E~uo. uEVH~NIE ~MICE Fo. qpri+no~ uae Dr Re~wdnQ o1Fc. f F~ ~ OEIARTMB~fI Of i!E 1fIfAStJlY 'j~y . ' (RE1/. 1-70~ . ~ ~ ~ aw~. + / - DISiRICT . SEWAL NUM6ER - . 201447 B188 P1S10 ~ ~ ~ he~ebr certif~? Hat as to tM~ fdbwi ~amed taxpaYer ihe roquirem~ts of Sectian ~ - 6325(oji l~not Revenue~ , have~en soti~ed with a ths taxes enu- ~~~r i marabd below. Mgelt~ vin'~' a~l stafidah? adddioos Pno~^ded b~r Seclion 6321; aod f ~ wr ~ a~ ~aa~ ~ n~ ?9Z'721 , propn~ o~icer • the o~ics ,whe.e noficb inlernol ra~renue ,ax ~ien was rdad on ~ tiovec~ber ~5 , 19 fa heceb~? autiwrized ro r~ialce notdion ~ on !us books ro show ~he release of soid lien, insofar os M~e lien rela~tes ro the fdbw- ing taz~s. ' NIIME Of T/1XPIAY6t - ~ i~ i ~M~ li~~t ' ~ _ ~ ~ ?Lpel~i ~ UNPAIO BAL/1NCE I pNp pF T/U( TAX PERlOD ENQED ASSESSAAENT DATE IDENTIFYING NUMBBt ~~~M (a~ (b1 l~l ld) kl L~ 1~~ 1~!•7~0~ T~6-Z4-y1~J1? ~ f { i ~ i k ~ ~ ' - ~ ; ~ ~ ~ I I ~ 1 2 + ' ' T 1 = ~ ~ ~ ! . ~ i ~ ; ; ~ ~ f PucE oF Aur~ ~~i Or¦e~ ~ ~ ~ TOT/1l = ~ ~ ~ ~ ~ ~ ~ f ~ • ~ ~ WfTNE55 my hand ot Jacksonville Florida , o~ ?t~u. ~ ~ ~ t}1e 25th ~y Qf September , ~q 74 ~ ~ SiGNATUtE TITIE - Durant Chief S ecial Procedures Staff (NOtE: C f offica outhwized by 1aw to take ocknowledgments is nd asentiol to the vd~d`ty of Nolice of Federd Tox lien G.C.MI 26419 .B. -Si, 125.) ~ * PART 3-To b~ used for rocordin~ purposos ~ f - ~ ~ - - . . k~. X~ ~ ~ ~ 2~Y.*~! ti . ~ ~ _ ~..C~,. , `~'~`~~.r ~,~~'~~`T~~' e ~ _