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~ Fo~m 668 DE?AtiYEMj OF T11E T`EAfURY-IM7ERMAl IIEVENUE SE~VICE fOr Optip~il l/ss By etording O//iCt
, tREV. ~z-s~~ • CERTIFICATE OP RELEASE OF fEbERAL TAX LIEN
i DI$TRICT ~~u~ SERIAL NUMB -
~ 346435 Bk 258 Pg 377 ~cD :rlD RECORD~O
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~ I hereby oertify that ss to the following-named tsxpayer the ~squirements of Section
4 63251a), Inter~sl Revenue Code, have been satisfied with respect to the taxes enu- ~ ~
~ merated below, together vrith all statutory additions provided by Section 6321; and L~a3~j~
that the lien for such taxes snd statutory additioru has thereby been reteased. The -~9 y6
~ proper officer in the office where ooti 9f intemal revenue tax lien wssfiled on ~ F'~f~ Q+~
SeptembeT 30 , 19~6 , is h~eby suthorized to make notation
' on his books to show the release of said lien, insofsr as the lien relates to the follow- ~
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in Uxes. "
NAME OF TAXPAYER ' r` - ~ '
~ Z.r~ ? ~r. L. ;.e~.r
RES(~j~~i~. 1~.
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UNPAIO BAIANCE
KIND OF TAX TAX PERIOU ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
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~ WITNESS my hand at Jacksonvil le, Florida , on this,
~ che 24thday of January , ~g79 .
~3 .
~ SIGNATURE ~ TITLE
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~ ~f" ~•E. 'Ne~^ Chief, Special Procedures Staff
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(NOTE: C~.tificaa o~ offictr autho~iz~d by law to t~lc~ atknowlWynw+ts is nOt ~ntial to th~ validity o1 Notid of F~derM Taaik G.C.M.
26~19. C.B. 1950-1, 125.1
PART 3- To be used (or recording purposes _
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