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IRE1L - CERTIFICATE OF RELEASE OF FEDERAL TAX LIEN
DISTRICT SERIAL NUMBER
~ B-279 P-2420
1 hereby certify that as to the following-named taxpayer the requirements of section
8325(al. Intemsl Revenue Code, have been satisfied with respect to the taxes enu•
mersted bebw, together with aN statutory additions provided by section 8321: and ` ~ . I ; _ , ~ 9 , ~ 4
that tM Bert for such taxes -and statutory additions has thereby been released. The
~~nuo~~r ~ the office where no~~ of internal revenue tax lien was filed on , al,;• ~.~i.r.~:; t;
19 is hereby authorized to make notation 5 RaGER
PO
TRa5~
on the books to show the release of said lien, insofar as the lien relates to the folbw- CLERK CIRCUIT CCUH:
ing taxes. _
NAME OF TAXPAYER ~=;:'..-~~~`~:1 -~-j
a¦r s~ a s... z ii..~, !fir 46510
~r ~ •
RESIDENCE
~ ~ ~
UNPAID BALANCE
KBfD OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
` lal (bT (c) Id) lel
PLACE OF FILING
~ s~..a, a.lw~s a.es
f TOTAL E
I+ t~i~lt ~r/I~ 0~¦IN/~ >riwW ~
WITNESS my hand at Jacksonville, Florida on this,
t~31st day of October fg 79
SIGNATURE ~ TITLE
Van E. O'Nea ~j(> Chief, Special Procedures Staff
(NOTE. Certd~cate of oif~ter aeittwrued by law to take cknowkatfgments ~s not essentwl to tha rat~ry of Notios of Fstiaral Tax l~sn G.C.M.
28419. C B 1950.1. 12 5.1 t W
PART 6 - To bs used for recording purposes R()1Y,~~ P~I;F 1 RJR