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S.pNrnb,r,oTa, ~ Certif~i~ate of Release of ~ Federal Tax l.~n
District - serim Number ~ - ~ ~ owc«w u.. e,? R.•«errg onro.
~ 438438 b-305 P8-2102 .4~.5?~~
I certify that alto the fdlowinq-named taxpayef, the requirements of section 8325(a)
of the Internal Revenue Code have been satisfied for the taxes listed below and
for ail stattrtory additions. Therefore. the lien provkJed by Code section 8321 for
these taxes and additiorm has been released. The proper of(ioer in the office $ 3T
where the notice of internal revenue tax lien was.filed on March 26 1Q ~ ~ .
19~. is authorized to note the books tq show the release of this lien for
these taxes and additions.
Name of Taxpayer - -
Residence ~ ~
4
unpdd ealanoe .
Kind of Tax Tax Period Ended Date of Assessment IdsnWylrq Number of Aassgnent
c.~ cep co) cm cr
~ ~ ~
~ -
Place of Fling
~t• ~4 Tatal i Zed
~r ~ ~
Jacksonville, Florida
This certificate was prepared and signed at , on this.
6th Aug 79 dIX1ii~~ .
the day of .19
Signature J Title (
s
Van E 0 Chief Specisi Procedures Staff
(Notes C«tNitat• o/ orric« •urhwrz•d by ?aw ro r.k• •cknowbdym•ms b not •~a•MUr ro tM vatt0lty oI NoNc• a1
F•O•ral Tut U•n O.C.M. 2drrY, 7QSar, C.A. f26.)
Pert 3 - To be used for recordirq purposers f'orra~ (Rev. a78) 3