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(x~v 1•70~ CERT~KATE OF REIEASE Of FEDBGL TAX t~N -
DISTRICT SERViI NUMBER ~ra991'~1
237664 Bk206 P 576
i hereby oertify that as to the followin~namsd~taxpayer the roquiremenh of Section
6325(a). Internai Reveoue Code, have bsen sotisfied wnth to the taxes enu- 1LEO RM ~ ~~,~p
marated below, together with all statutory additions provi~feS bytSection 6321; and T• LUCr~ L~;~,~ir i~~
that the lien for such toxes and sfahitory odditions has thereby been released. The RO~.E=, t;;:TfA:
o~ in the oRicev~h~e notice f inlenw) revnnue tox lien was 61ed on p f CLE~K `G;;ft COUAt
Sevtember 1.-_ rIF^
, 19 ~2, is hereb~r authorized to make ratation
on his boola ro sFiow the release of soid lien, i~ofar os the lien relotes to ths follaw- _',u' ~ `
~ YM~ 1 ao PH 'T~~
r~ oF wc~r?,re~ ~9~~'1, ~L
w ~t
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tn~Pau ~?uwcE
i KIND OF TAX UX PERfOD END~ ASSESSMENT DATE IDENTIFYING NUMBHt OF ASSESSMENT
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~04t} Iaccar i3-31-7i {b-L~-Z2 2~b4 64 I389 S 96j.4~ti
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- PIACE OF FILING
Cl@t'~G~ C3]rCit~'t COlstt TOTAL S ~2.~
9~. Lucis C~nty
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vVITNESS my hond at Jacksonville . Florida _ , on this,
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~n the 9th ~y of January ~ 1975
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~ SIGNATURE TITLE
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~ Jack a t Chief, Special procedurea Staff -
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= ( ~ C ~f~cote of officer thor~zed by la+v ro take ocknowledgments is not essentiol to the volidiy oF Notice of Federol Taz lien G_C.M.
2 19 . . 1950-S1, 1 .
~3 o R ~5
~ PART 3-To be used fo~ recording purposes eO~K PA{,f 1~~88
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