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HomeMy WebLinkAbout0424 _ - , ; - ` 34~4~1 ~ ^ ~ - - J v ~ ~ f~ 66S U. S. TREASURY DEPARTMENT- IMtERNAL NSVENUE SERVKE ' FerON~onellhe9yR~car~r~ON.c~ F tREV. CERTIitCATE OF REIEASE OF FEDERAL TAX LIEN : DISTRICT SERIAL NO. 1 iT.~tiO~E C~~MTY f~#. _ ~ ~ JI~CISU~YII.tE /LUR~A 171933 BR 174 PG 876 ~OCE~ FOiT11Ai : ' OIERt CI ;CUIT OOY~T I h~r~b ctrtil thot os to th~ followin nom~d tcx er th~ rt uirem~nts of Section f i 6325(a), Int~rnal R~v~oue Code, havs been satisfied with rsspsct to th~ tax~s ~nu- pECOR~ YERIf~E~ _ m~roted b~low, to9~th~r witl~ ail statutay odditions provid~d br S~ctic- 63Z1; and ~ I that the li~n fa such taxss and stotutory oddifions Fws th~reby b~~n rel~os~d. Tht Sa 30 ii ~ 1~ i prop~r of(ic~r in ths olfiee wh~~~ notice of internol rev~nw tox lisn wos fil~d on ~ November 6 , ~9 6$ is iursby outhwiz~d to mok~ nototion on his books to show th~ r~leose of soid li~n, insofo~ os tM li~n r~lotss to t6~ L, ~ followiny taxes. 3(~~(~('~? ~ NAME OF TAXPAYER _ ~1 ~ J0~ B. 8~ ~ RESIOENCE ~ ( 1!! 3 H0~ ~0, ~T PD6A[~, !'LU. 93~,'i~ I~ CLASS OF TAX UNPA10 BALANCE ~ ~ (Tox R~furn Fo.m No.) PERtOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT ~ (o ) (b ) (c 1 (d ) 1 k ~ u~o ~-~-bT s-u~ zy~.-~9sic~ ~ i.~t.3~ ~ ; ~ ~ _ , ~ ~ PLACE OF FILING C~~ C~.U$ COW~ TOTAL S sr, u~ca cwa~ri a ; WITNESS my hand ot Jacksomiille, Florida ~~~~s~ ~e 23rd day o4 September 19 76 ~ ~ . / SI TUR TITLE ~ ck ant Chief, Special Procedures Staff OTE: C~+ti(icot~ o( o~tic~r ov?Moric~d by low to ~oke acknowl~dqmeMS ~s not ~ss~ntiol to the ~el:d~~r o~ Na~c• o~ F~dnol Tm Li~n G.CaA. ~ ~~9, c.s. ivsasi. ~ss.~ kb ~