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Form 6~48 . oEn~xn~rrt oF ~?+e n~ws~xr-Nre+au~ e~v~ s~+nnce Fo? opAOO+ u• er R.oo.d~y o~o.
(~v. 1-. + CERTIRGTE OF RELEASE Of FEDBtAI TAX L~N l~ ~ .
DISTftI~ ~ SERIAL NUMBER
_ 2 8077 B-234 P-2840 . ~I~R~EA ~
1 hereby certify that as to the following-namsd taxporer the requirements of Section -r~ rr, yF
~
~~E~ COU
6325(a~. Internal Revenue Code, have been solirfied with respect to the taxes enu- ~
merated below, together with ull stotutory oddfiau provided by Section 6321; and
that the lien fw such taxes and statubry addifions hos the~eby been releosed. The ~PR 'O Os ~!'j~
_proper ofFicer in the of~'ice where no6ce of intemal revenue tax lie~ was filed on ~
I~cemhPr ~0 , 19.1~, a hereby avthorized to make notoYwn
on his books to show the release of said lien, insofar os the lien relates b the follow- ~
. -
NAME OF TAXPAYER - ~
. » i ~!s li~~
RESIDENCE ~ ~ ~ .
~ ~ -
UNPAIR BALANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFl(ING NUMBER OF ASSESSMENT
(al (~1 kl Idl te1
~ 1i0~0 ]?..,~7.?2 1L.1]~T~ ~I?~~ ~.?7 -
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PtACE OF FIUNG .
~k• C~ TOTAL s
_ S`t. l.,c~e Count~r ~ 326.TT
Fat P~ercQ. Flarr~a
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~ WITNE55 my hond at jackSOnville Florida , on fhis,
~
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~ OR~
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~ the .31~t_day ofMarch , 19 78 6~K ~ r~
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~ SIGNATI~E ' T1TLE
~ ~ 1 ' ,
~ ~e~
~ Actin Chief S ecial Procedures Staff
~ (NOTE: Certificde of officer avthorized by law lo toke ocknowledgme~ts is no1 essentiol ro the validity of tJorice of federd Taz tien G.C.M
~ 26119, ~.B. 1950-S1, 125.)
~ PART 3-Tq b~ uwd fw ncordin~ purpos~s
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