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HomeMy WebLinkAbout2530 ~ , - n . _ ' . . . . . '-'"y _ - • - ~ .1. . .v . _ . -A~• _ i •rr`-.y,.~ .Jr.4't~RF.:I.~i"~tira.~~_ . 1 ~ . - . - ~ . • ~ " ~ ~ U. 5. TREASURY DEPARTMEN~- IHTE_ R~i REVENUE SERVtCE ^ ^ ~ Fp O~r.ooot U~e.B~r Recvd.p pF~c~ 1 Fon. 668 ~ - . CERTlFICATE OF RELE~ISE OF SEDERAI TAX.tiEN I' ~ ~ tREV~.B-6)! ~0 ~ D{STRf~T ` SERIAI. IiO. - ~ o pc~~ ' ~ • ~,~2642 Bk184 Pg647 ~~CIE COUMT~RiI~. ~ . f _[he?eby c~rtify thot os to th~ ioi~owioy-nomed•toxpoy~r the roquuemeots ot 5.~~;a+ - ROCEitPO~TRAf` , _ 6325(a), Lnts~nal Rsv~ew Code, hove b~~r+ sotis(ied w:th rospec~ to the tox~s eny- CIEaR CIRCUIT C01{Af ` , --~nerot~d beie«, toy~th~r w~th dli stotutory addetioas p?ovided by Secseon E321; ond R CORfl YfNIFtE~ ~ that th~ lie~ fo~ such toxes ond stotutay uddifioes hos therobr baen r~leas~d. Th~ , poper off{ter in th~ o((itt where notict ~~inNrnol rsvenut tox lien wos F:lsd on 2~ ' e _~~ii ~i. , 1~-. ~s heraby outhori:~d te mok~ nototion „ • on his books to show th~ r~l~ase oi soid tieri, insofo~ as rM li~n ~etar~s to tM ~ fo~~~.,~9 ~x.,. . _ . 295609 f ~ NAME OF TAXPAYER ~ . . _ ' ~ ~~w ~ Q~~~~~'~'~7~M ~ ! RESIDENCE . - ~ ~3~. '~M~IOtiN ~ j ~ ~~~M~ T~~ • ~ CLASS OF TAX UNPAID BAIANCE (7ux Return Form No.I ''PERIOD ENDEO ASSESSMEN7 DATE ~~Et:TiFYING NUMBER OF AS5 =SSMENT (o) (b1 . (c) . id) . ts) ~ ~ • ; 'j i ~1 1?~~1*'~ j"~"~D ia~~~ ' i ' - _ ~ ~ . - € . - ~ ~ : ' i ' f PLACE OF FILING ~i Q~; ~ ~O~ • TOTAL S ~ ~ n~'!~~ WITNESS my hund at lacluonvill~., Florida on th~s,. - the~th_doy of ~lavembat ,19 74 SiGNATURE TITIE i f ci d ~f (NOT . C~~1' icot~ od offic~r ovtFwris~d by low to lok~ oek~owl~dyments is not ~sa~ntiol to the val~dity of NWite oF F~derol Tox Li~r G.CJ~A. ; z . ~9JsaYs~. izs.~ 6QLR'K PIICt ~M~1~4 ~i ~ PART 3-To be used for recording purposes _ ~ ; ~''-h~.~x-:~. R t.s~~°~~~ r ~i I E ,~.3t4. `~e-`~,:'4`-_ ~ya*y~~,.c+~r~~~~~ ~ 4 . ~ _ . . _ . 3 . . . ~ r,~' s?a~'~ r:. , u4.'>z~s u