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Ier. 664f U. S. TREASURY DEPARTMENT - attEitNAI REVENUE SERVN:E fer Orei.rl Uw !ti R~ Oflc~
t=.~? . e~uTII~eAT~ of aF ~lewt _t~x t N 4S'~514
4 DISTR J SERIAL NO. + a
1 hereby certify tiNrt as to the fellowirp•wow~sd r•tM requirewents of Section -
6345(~), Iaterwel Revemra Code, hew been satisfied vrith aspect to the taxes eew _
wreroNd below, together with oll statutory odditions provided. by Section 6341; end ~M ~W ~ ~ {f2
that the lien for streh texas awd statutory edditiens has tMnby been nleosed. TM :7 W -
proper- offices M the offip when notice of inNnnl nvenw tax lien wos fihrd an
,jjr~~$ , 19..ZL, is h.nby authorised to sale nototion ,
' on his books N .show the nhwse of said lien, insehr os tM lien rektss to the M1~1N1 T
{ following sexes.
NAME OF TAXPAYER ~ECOi{O'~ERIFiEA
~I< Le ~e'adre+~
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i RESIDE C
fi _ ~ ~ ~r artw - 4$5514
} ~ UNPAID BALANCE
I TAX FORM .NUMBER PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(e) (b) (c) - (d) (e)
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1dA ~*1 ~1~31-69 of~s-~o l~96.~6.obi~,~ _
fWp tN•,3R-~r1 01-~K-TI 196-~t6-011i1.3
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PLACE OF FILING Qfli~t
~ ~o ~ ~ TOTAL i 3j7y7~~
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NOTICE Of FEDERAL TAX LIEN REfiLiN6
330902
~ IRS SERIAI NUMBER RECORDER'S IDENTIFICJITION NO. B _2 50 Y -1310
NoncE FLED WITN ~s Cf~t, ~ ~)6~•~6
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E TAXPAYER'S AD SS M ~ ~ ~
' ~ f different than shown obove~
~ sIGNATUf~ T1T~E
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~ WITNESS my hand of , on this, t •
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the 10 day ~ Au u , 19]~~ P~GE~~
VAN O t 80~~~~
SIGNATURE- E. 1! _ CHIEF SPECIAL PBQCEDIIBES_ STAFF ~F
NOTE: Certificate of officer outho?ized by low to toke ecknowhtdyments is not essentiol to the volidify of Notice of Federol Tox Lien
G.C.M. 26419, C.B. 1950-1, 125.)
PART 3-To be used for recording purposes