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~ ' - - _ _ ~ _ ; - . - - ~ - . " • Foi~ 6G8 bi?~Cr~?+~ oF ~ n~wtuer-a~ eEVer~ ~ Fo. qorioad us. h R.oa~w o~a. ' y (REY 1-70) ~RT~KATE Of Of f~AL TAX U~I ~ p~ ~ DISTRI~T `ER : SERUI I~tUMBER _ - Ep ~i01Tlt~g ~A. ` ' ^ 291423 - Or 231 P 2596 ~ CtERR C1+tCi11Y COURt ~ 1 herobr cefify tfiaf os ro the fdbwing+wmed tcxpayer ths roquireme~n of Section yr~tiiEO ~ , ~ 6325(0~; Internol Revenue Code, have b~sn sofisf+sd with respect ro Ma taxes eAu- ~ ~ ~~o„~ b,? s~ ~ Mar ~ T ~ f0 ~2~ AH'~~` t +nor N~e I+~n for wd+ roxss a,a slowto~? ade~iM'a~s :1w~ tl~srebr bsen releo~d. n~s . I ~~/'13/ 74~n Na oAios wher~ notio~ of ini~ernal. ~ue rox_ I~sn was filed on ~ , 19 ~ • ,.'~s harebf? ou~hori:ed ro ~ialce nororion ,~iU~ on his books ro show ths rolsose Qf wid ~n, a~sufor. aa th~ lien ralaMs to th~ fdlo~w~- I ~ ~ _ - _ i NMAE OF TAxi~?Y6t ~ ' ~ f ~ ~ ~~~~t ~ ~ ~ . i - ' - 1Jt~IN11~ dAIMKE - ; 1~ OF TAX~ ~ TAX rEUOO ENOED ASSESSMB~IT DATE ~NG NUMdQ OF ASS~SSAAEM j a~ ~ w~ k) tdl Nl ~ ~ ~ , ~ . ! i ~ N.~',l. ~9~1+~-~4J~ ~.~•S3 ~ . : - ~ ~ , . _ ~ ; _ ~ ru~ oF ~c TOTAL = ~ ~ ~ ' Fott PNro~. ~'io~'1d~ ~ ~ ~n~TM ~ ~ Jacksonville Fla. , on ~ha, ~ ESS m~r - the 4th ~y of MaY , 19 78 SIGNATURE ~ TITLE Van E. Acting Chief, Special Procedures Staff . , (NOTf: Catificde oF oR`icer authorized by law to take acknawled9menh is no1 essentid to the v.olidity of Notice of Fedad Tax Lien G.C.N~ 26419, C.B. 1950-51, 125.) . ~ ~ • PART 3-To b~ vsed for r~cordinq purposas ,r~ ~ r~:: - , _ ~ _ - v- ~ " y, , _ : ~ x • - <