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I t9~ - Certificate of .Release of} Fe~erai -Tax uen ~ - ,
oistr~ct _ - Serial t±iumber _ - . - _ - For ovtwr~t u.. er R.oordtnp otrk. _
j+~g~ 4+3~ Bk•305 Pg-2og9 1919 SEP; 20_ A~ ii~ 2 -
f certify mat as to the fdlowirw-named taxpayers the reauit~ements of searon es2stal • - ~ C Y o~ _
of the Internal Reiventie Code have. been sstisfied for me taxes listed below and - ix T ftA T
for aN statutory additions. Therefore. the lien-provided-by Code section-8,321 for
these taxes and additions has been reteased. ltfe proper officer ~1 the office RED ~RIFIED _
where the notice Of internal revenue tejc tiet~'was filed on~re~26
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_ 19 179 , is authorized to note the books-to stww me release of mis lien fog
meee taxes and additions. - 45i9855~ -
idame of Taxpayer _ - - ~ - - - -
i is1Ys li? ~Yrc
Resides -
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1 - _ unpaid eatance
Ii _ lUrw! of Tax Tax Period Ended Oats of Assessment. IdentNyiltip Number of Assessment - -
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Place of Filing
~ ~ Olivl~ Total =
is LIAR _
This certificate was prepared and signed at JACR.SONVILLE FLOitIIIA . on this. a
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the 26 day otJuly 19 79 -
Signature - / _ Title
Van E. 0' Chief, Special Procedures Staff
(Iiot~c Cortlltc~to o/ o/HCOr dutharhed Dy Is+r to zaRe acJv~orrfidg.:.:.'f:5 !s not oaorulN to thY val(dUy~ Nouca o~
Fod~ral T~Jt LI~n O.C.M. 2tiNY, 1460.1, C.B. 125.) ~ ~
De.~ 4 - ~r.. 6,..n..rwlin.. n...,nn~a~ ~ Form 688 (R@v_ 9-78?