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owW1iw61T Oi tRE TiEI?~N1r - wredMt tEVBItE te1MCE . fa ~Pt~ us~ By R~co+~diey O1/ics
~~Ti6i ~ CERTIFICATE OF RELEASE OF FEDERAL TAX LIEN
~ OISTRICT . SERIAL NUMBER
i 377426 8K273 1369
~ 1 hsreby certify that ss to the tolbwing-named taxpsyer the requirements oi section
! 832bls). Intemal Revenue Caie. have bean satisfied witl~ respect to the taxes enu-
~ ~aaa ~iow. to~tne~ w~m au stat~tonr ~a~ ~o~?~a.a e~? ~~w, s3z~: s~a '~39 .1?;'; -7 ~n ~ 33 ~
~ that the lien for such taxes and statucory sdditions has thereby been released. The
( ~M~ ~r in the office where not of intemal revenue tax lien was filed on E~; A+tG f~.G~t11
18 is hereby euthorized to make notstion 3L~UC~fAP~~F1.A.
; on the books to sfiow the rele of said lien, insofa as the lien relates to the fo~bw- ~t ~~~r
~ ~ taxes. L 'L~ iS o vHaS P~~
NAME OF TAXPAYER
s ~s t~ ~ ~ ~s 44~'OU9
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~ RESIDENCE
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j UNPAIO BAL/1NCE
~ KIND OF TAX TAX PERIOD ENDED DA7'~ OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
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_ ~ PLACE OF FIUNG ~ ~ ~ ~
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• WITNES5 my hand ac Jaclceonville, Florida , on cnis.
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~ the 1 day of June ~ g 79 ~
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~ SIGNATURE I TITLE .
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{ Van E. 0'tieal~~r1 Chief S cial Procedurea Staff
f INOTE~ Cert~fv~.a~s of off~cer sustwrKSd Dy isw co t aGcnowbdymsnn ~s not essenUSl ro tMe wbdrty ot NoUC~ 01 F~N Taa lien G.C.M. ~
~ 28419. C B t95~-1. 1251
~ PART 6- To be ussd for ~scordin~ purposes 3~JGr ~0
~ ~58i