HomeMy WebLinkAbout0431 . . . ~ ~ . _ . ~ ~ _ - ~ _ ~ ~ ~ .
; ~ - 3~6468 C, s. 1. er4.~sf..~ ~
I F~ 66d U. S. TREA~l1RY ~EPARTMENT - INTERHAI REYENUE SERVICE Far'O~rewrl U~e ~ R~c~!'r~ Oliiee ~
caev. e.e» ~ CERTIfiCATE Oi REIEASE OF FEDERAI TAX t1EN jl A~
~ISTRICT _ SERUL NO. ~1.LUCIL
172$SO OR Book 174 P. 2373 ~~~R~ '
CLERIt C1':C~IT~ COit
~ 1 er• y e~rti t t as to t ollowie9-noen~d toxpoy~r th~ rsquir~m~nts of Seetioo R~COR'3 YEq?FIE~
63Z5(o), Int~rnol R~v~nu~ Cod~, Mv~ b~eR sotisfi~d wit6 r~spsc~ to the tax~s enu-
~ meroted b~low, toy~ther wit6 0ll statutwr odditions qovided br Section 6321; o~ ~8~r 3D 11 23 All ~/p
thot th~ li~~ fe? such toxes ond stotuto~y additions hps• thsr~by b~en r~l~os~d. The
proper offic~~ in the offic~ whs~s notic• oF internol ~~venw tox fi~n wos filsd on
12-12~68 , 19 is hereby cuthwi:ed to moke norotion
i o~ his books to show the releose of soid li~n, insofar os th~ lisn r~bt~s to th~
~ `°~~°'"`~'°x.s. 3464f8
NAME OF TAXPAYER
RESIDENCE
~
' CIASS OF TAX UNPAID BALANCE
I (Tox Retwn Fwm No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(o ) {b ) ~c I (d ) I
t~r ~ ~ ~ `
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l
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PLACE OF FILING
i ~S ~Z~ jT~ I~.~' S~ TOTAI 5~~~ .
i l+~! l~i, ~
;
WITNESS my hand at Jacksonvil le~ FL.. j
~
the_Z~dcy of Sept. ,19. !
~1 R t ~
SIGNATU E TITLE
A CHIEF SPECIAL PROCEDURES STAFF
(NOTE: ntificot~ of otfic~r o~thori:~d by low ~o tok~ acknowl~dyw,~nts is not ~as~neiel fo 1!w raliditr of Notiee d F~d«ol Tox Li~n G.C~1.
Z6119, C.B. 195051, 125.)