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- aEl'nalnerr ac TIB TfEANMY - rtrelwlt` s~ for us. Orfib, .
- Form ee~
cno? i-rn - CENTIFICATE OF RELEAiE OF FEDERAL TAX LIEN -
olsTAlcr sER1Al NUMBER 45.15518
~ ~ 425725 b-298 pg-2625
- 1 hsroby osrtify that ss to tM bMowap-nsnled ~ taxpayer- the roquiroments of section
83Z6W. Irrternsl Reverwe- Coda hsw been sati~fsd wah respect to the taxes enu- -
ntersbd balotM. topsMar with sN statutory addition provided by section 8321: and (gjg rx(~ ~ ~ ~ 4Z
thst tlls .lien for such 'taxes end statutory additions has thereby been released. TM
prop~? In the t~fice whero r~od~ d internal retrertw tax lien was ~ filed. on
i~lov ~g 7g , is hereby suthorinad to make rtotation
on the books to shotllr the reltase of said lien. insofar as the lien relates to the folbw• -
taxas. - COURT
NAME OF TAXPAYER -
RESIOENCE~ ~
~ L~~.~i5~~
t!
UNPAID 8/1tANCE
KIND OF TAX ?AX PEIIIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER - OFASSESSMENT "
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LACE OF FIUNG
~ ~ ~ TOTALS ~
WITNESS my hand at Jacksonville, Florida ee - ~
~ 6th ~y Aug _ 18 79 BOOKJ~4 PAGE~~1~ `
SIGNATURE ~ TITLE
Van 8 O' N ~ -Chief S vial Procedures Staff
(NOTE: CMtifiata of offiosr authoraed M law to sdcnovvladgmana is not assamiN to tfw vali0ily of Notice of fadaral Ttp~ Liao G.GM. ~
ss4fsa.c.e. Islso-t. Izs.l o j
r PART 6 - To bs used for recording purposes
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