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~1 - C~arti~ae of Release o~ feral T-
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. - ~ far oataw u»~i /#~oond,Ay oriw. -
97l~8 8-306 Y-1188. ~ " ? ~ ~ ~
~ oe~ilyttYitastn;he followirgd ~ the~tequirgnnents of section832~a) ~ - ~ J1. "
of tire. tntamd Re~nerwie .Code haMe bean sMi~iei~ for the taxes listed billow aid : - ~ .
for ail sta~tory additiora~ Therefore; tf~a lien>prwided by Code section t~91t-tor ~ -
these 'ta~ofis and additions has. been r6ieaa~d. The proper officer - the OffiQe a ~~iEO - _
1Alileke the notice of IMerrlBi r'eAfenUe floc lied-wad filed On - . - 1 ,f -
1 g~_, is authorized to note the books .to sh~Dw the release of .this Lien to
these taxes erns addjtiorm. - 4~a~i~a~
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Nartle of Taxpayer - a., - _ ~ _ -
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Residence - _ - - - -
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- Unpaid Bsianoe - -
IOnd of Tax Tas Period Ended Date of Aa:essrrisrrt k~ Number of A::essmerrt
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Place of F'ding s ! ~t
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This a was prepared and signed at .Jacksonville, Florida - , on f .
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the 24th ~y~ r ~g 79
Signature Tide _ g~,7 !~E
r a I' " Chief S cial Procedures Staff
Vats S . ~lfe
Oratac -CarrYN:.1~ a aMlear authoriz.d by hw ro qka scMnowlsdym.MS is nor .a«KC.r' ro tM vcraah? a xotlo. or
" F Fadrrd tat LNrI e.C.M. 2d~1q, 1060.1, C.B. t26~) -
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