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gor,n 668 DEPARTMENT OF THE TREASURY-INTERNAL REVENUE SERVICE Ff>v t7puOnal tlst,By Rec~ ~diny 0I/icY
taev: l~-~tt - CERTIFICATE OF RELEASE OF FEDERAL TAX LIEN
DI TRICt SERIAL NUMBER q~ ~ ~ -
~ 34524 ~-257 F-13'1 ~~i~~,
I hereby certify that as to the following-named taxpayer the requirements of Section
6325(a?, Internal Revenue Code, have been satisfied with respect to the taxes enu- n7 nr
merated below, together with all statutory additions provided by Section 6321; and 1319 ULT 26 ~ ~ 4
that the lien for such taxes and statutory additions has thereby been released. The
proper officer in the office where notice of internal revenue tax lien was filed on FILED AFIO a::C~kJED
September 14 19 7~ is hereby authorized to make notation ST.LUCtE COINITY.FIA, "
ROGER POITRAS
on his books to show the release of said lien, insofar as the lien relates to the follow- CIERlI CIRCUIT COURT
in taxes. Ri:CCRD VE?!F'Et'__._.~~
i NAME OF TAXPAYER
i
' .1~~ i lTti 1~1if
REST E C~ Q 4S~`~~
•
l+Oe? tACtl, ?L 3
i
~ UNPAID BALANCE
~ KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUtABER OF ASSESSMENT
' la) (b) Icl Id) lel
~ ~dar0 tZ-j1-69 14-Z5-Tt X61-~i-O'tfr~2 = lTS3,~0
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' PLACE OF FILING ~ t CO~~
n+~~Ma~
~II,~ TOTAL S Z'fS~.~
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~ WITNESS my hand at ,;:;c'~.s~n-~l l le , r iy"" { ca , on this,
the '~~t`'dayof :~c~o';a_r 19 7''
SIGNATURE TITLE
t / 1 r~ 7
L'a c. ~ / C// r'-_ef ;;•~eciai Pracec?Lras :>tai: Ic
(NOTE: Cer ~fiuN of offic r authorirW by I~w`t0 take stknowl~d9ments is not ess~niisl to the vslidity of Notict of FWerN Tex Lien G.C.M.
`61 26419, C.B. 1950-1, 125.) fltt A./ A ~1