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iR~EV ~n CERTIFICATE OF RELEASE OF FEDEttAI TAX ~l1EN FIlEO AND RECOROEO
. pl 1 SERIAI NUMBER ~ tT IUC~E COUNtII FU
i 373938 Bk-271 Pg-2796 aocFR Po~fia~5
ciE;r. y acu~t ccua
' f I~eby certify that as to the following-named taxpayer the requirements~ d section .-`^r
63251s). Intsmal Revenue Code. have been satisfied with respect to the taxes enu-
merated bobw. together with all statutory adciitions provided by section 6321: and SEP 2 52 PM
that ths lien for wch taxes and statutory additions has thereby been released. The
proper offic~r in the office where notice of intemal revenue tax lien was filed on
AuRust 3 19 ~
~ , is hereby authori2ed to make notation ~~1Q1
on the books to sfiow ths rebase of said lien. ~nsofar as the tien retates to the folbw-
' ~ taxes. .
NAM~ OF TAXPAYER ~ ~ ~ ~ '
- 41'7101 .
RESIDENCE ~ ~
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UNPAID BALANCE
; KIND OF TAX TAX PERIOD ENDEO DATE OF ASSESSMENT IOENT1fY1NG NUMBER OF ASSESSMENT
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~ WITNESS my hand at Jacksonvill e Florida . on this,
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the 7th day of ~~tember. 1978
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~ SIGNATU i4'~~~~ TITIE
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h s Actin Chief S ecial Procedures Staff
(NpTE: CertA~cscs o~ off~csr author~sd by !aw to take acknowlsdgments rs ~ot essent~ to ths vabd~ty ol Not~a d fedsrs~ Tax lren G.GM.
T6119.CB 1950-1.1251
PART 6- To be ussd for rscording purpoass 60~ ~ p~ ~ rlb
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