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OF.ifIE ~ior Onaorlel Use ~ Rac~or~dir~ OIY~c+s
- IREV. sass CERTIFICATE aF RELEAiE OF~ FEDERAL TAX LIEN _
ICT. SERIAL BER _ -
409 9 Bt 290 P 1215 4`~~i
1 oflrtily that as-to the foNOwinp-nsn»d taxpsysr the roquironfsnts d section . ~
Q32d~hlfernet Revenue Coda hsve been satisfied witlf respect to the taxes enw
nferate~ . below, topatMr with sN saartay additions provided by ssctbn 8321: and ~
that thti uen.:for such taxes and statutory 'addition: has dlsreby been reNased. Tile pT9 AU6 w All ~ 42 _
ptopsr otfioN.: in the offios whsns notice d ints[nal revenue tsol lien was filed; on
July 14 19 78 is hereby audlorized to make notation -
on t!M books .m show the release of said lien. insofar as the {ien rolatefi to the folbw- . .
T A T
yERlf•!ED -
" ~ " RE DENCE ~
. ~Mr • 4S~i5i?.,~
- :..r.
. _ UNPAlD !lALANCE _
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT fDENT1iMNG NUMBER OF ASSE8SMENT
w Ifd Irs Idl W -
~ r
PLACE OF FILING ~ ~t
~ TOTAL : ~~'fek
1 -
WITNESS my hand st JACRSONVILLE_ FLORIDA , an this,
-
ths_,Z,._day of 19 - 79 _ ~
u
SIGNATURE TITLE BaQK F '
7V ~ ~
oANBO
. (NOTE: C~ofiiaa of ofligt ~uthora~d try Isar to ult~ acknwMbdgm~nts K not esMntisi to tl» valid~q of Notice of F~s1 Trot lien O.GM.
saafs.c-e. resat. ~ss.l r
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PART 6 - To be used for rstordilp purposes ~ ~