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Form e0P ~ ~ 0@'Mt11iNr ~ - aR~l- ~ FOi? gpai0rlal U~ Br RrpOrdi!p a/jfi
01
TREY z•~ ~ CERTIFICATE OP I~REAiE OF fEDERA! TAB( L_ LEN
DISTRICT - ' ~ SEAtAI NUMBER
` 424255 B-29& P--404 4~~
~4
1 hereby pr6pr that as to the Maowrinp- taxpsyer the requirements bf secpoa _ - . •
83Zfstal; ~ Mternal Rsverlue Code, liars been satisfied: with respect to the takes enw -
n~eralad below..~~ sb ststusorY - additions ~ P~~ b1? section 6321: srld ~ ..5 ~ S8
tfist dta lien ,for' such tsxes end stetutwY additiefrs hss thereby been released.. The
pfvper offioef in the otfics where rgtiq of intatnal ~terenue~ taut tiers wss ~ filed,; on - sM~~~
November i? 183$:.,, is ~hsreby suthorized to make ~ ratstion ' f A' -
on the books to chow the release of said lien. insotsr ss the lien relates to the folbw• 1
i taxes. - fA~~[ ,
N F TAXPA ECOhOt1ER1F~
RE DENCE ~s ~m -
~i~~Ir ~ - 4s~. _
- UNPAID BALANCE
KING OF TAX TAX PERKID ENDEODATE OFASSESSMENT IDENTIFYING NUMBER. - OFASSESSMENT
W ~I tel ~ (dl Id
~
PLACE OF FILING ~ ~ ~ ~
TOTAL i~~
WITNESS my hand at Jacksonville, Florida ~ this.
26th September 79 -
the day of 18 ~
SIGNATURE TITLE
Van E. 0 Chief, Special-Procedures STaff
(NOTE: Ca~tiFicata d dficw autho~aae by bw b ta4 ack~wwbdpmants is not esMr?pal to aN vali~itY of Notip d FadKal Tax lino G.C.M.
seate.c.e_ ~s5o.t.126.1 kg
PART f3 - To be used for teeordirq purposes