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~ li - ~ _ _ - - - - swm 68i i at~?~fvsrt o~ t«t ~Nnsu~. ~*tE~~~ ~fvt~~t fl~r~C! Fo~ [)IDr,sr.~: Unlfr Recwany CHI.c~ '^E" t CERTIFICATE Oi REIEAiE Oi FfDERAI TAX LIEM r~~~ ~ ~ y~ , _ _ _ _ _ - ~~IS?R~C~~ ~~"R~IAI NUMB~~ s ~ . Jae~i1L~~~d~ _ _ _ _ ~ 3284ti~s u4~t++v n ~ ~d 5 _ ~ ~ `r: ~ i'*1i ~ - k ` ~ 1 t ne~wy cNt+fy thae as to the ~ol~uw~ng ~,imed urp~yrr thr ra~uuenxnu ol Stct~u~ i ~~e , . ~~/~"~rC ~ ~ 63~5fai. Inte~nal Reverjue Gxfe, have t,een s~tnt~ed w+th ~es~ect to the taxes t^u n?erat~d besow. toqrtlut w~th alt tutulo+y addtt~on~ p~orrJed by Sect~on 63?1. and ; ~hat tht ben for sud+ ta,~~s ~rxf ttatutwy add~iw~ Ms ther~by btan reteas~ci Thc ~ ~xopN otl~ ~n tha oft~cr whe~e not~cs of ~nlanal itw~w t~x I~sn wati fil~d on ~ _.r~~~"~ 19~L ~s htrlby authp~ted to rtsakt notai~o~ j u!~ hq bOOkt tb l~`~t)Mr th! rNray! ol sa~d I~er~, ~nsola? as the I~ln ~t?~~e~ lo ~he tuhuw ! . ~ '_^Q t~" .es• ! ~t ) - . _ _ _ _ _ _ - - - - i NAME OF TAXPAYER No~as~i T. ~ Iit . e/e ~11~r L ~.a~~~~ + : ~ ; ~s~.~rs f ~is~i,ris ~iiii ~ RESIDENCE - - - - a~'!x'~~- - I ~ 0 !a~ 2~'g , oiLa~O~''~d„_~Q _ . _ _ _ _ - _ ~ , ~ ~ UNOAIU BA~ANtiE KtNUU~ TAx ; iAX oENipp ENUEU+ (~wTE U~ ASSlSSME~iT : iUEN11f VING NUMbEN ; OF ASSESSAAENT ~ - ~al I it,l 1 ici . id) ~ Isl - - t - - _ . , _ j - - - - - _ - . - - _ _ li2o ` ~ ~ + ~g ' S•T~ + ' 9~3'l6oi~i ' 93~ • ~i10 ~ ~ ~ ~9a~'lec~bi ~ jo. ~ + ~/~/'~3 = J9-131eo6~1 31S . S~ ~ ~ 0313~/7'! : ~/~/`!~6 ~.o~ ~ 09/~/~`R ~ ~/2d/'!~ S4-1j760E~1 ~).18 ~ ~ ~ F , ~ _ - € - ; F o , ~ a ~ ~ ~ € + " - ~ ~ ~ g j ; : ~ _ - _ _ _ _ . . . _ - - - aCE OF FttiNG C~k d~~~~~ ~ Bt . IA~11 C~'~ TO T A L; S 10~ ,~i TC . Pii1'O~ ~nQ'ia. • .'Yt fNE~S my hen~1 ....~L..~..:i:.Y~.~`~? ~~,a~~..1 _ . un th~1. ` • ' : ~isy oi _ . , t y _ _ _ ~ _ - - . ~ .ir;NATURE E ` ; ~ ~ - - ~ i~~ ; , ~ : • • . ~ . , _ ; • - - ~~ls^ ~_'~lti : _~::~.?.i..: '''"•t'.• ~ , . c ~ _ _ _ - _ _ _ _ ~ ~ - - r ~d~~ s .•~Utf t.~.~~r~~.••~ u~ v~~•-~~ •.•r,~,..rr~ ~ ~~v ro ~ra~ r~•,ow rtp.•~r.u .s no~ .sw..~~~! ~c• ~ne .~.~~~.ry ol Nvt.e~ o~ ~ a1~eM t~. l.~n G C M 7Wi4 C 9 ly•.O 1 f)•. ~ ~ : CARI 3--'c {oi re,c~c~,•9 o~.•p:-...~ " >•:..s.i%:. _ a d: ~'f. S