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Fwm 688 ~ (NJARTYfNT OF THE TREASURY-INTEIINAL REVENUE SERVICE For ~tioas/ t/is BY Raco~diny Ofaria
taev~l2-711 CERTIFICATE OF RELEASE OF fEDERAI TAX LIEM ~
OI RIC - ERIAL NUMBER
337204 B253 . P1506 _ - - -
1 hereby certify that ss to the following-named taxpayer the requirements of Section 4~~
6325ta1, Interriai Revenue Code. have been satisfied with respect to the taxes enu-
megted below, together with all statutory additiotts provided by Section 6321; and
that the lien for such taxes and statutory additioll>< has thereby been released. The
proper officer in the office where notice of internal revenue tax lien was filed on
.Tune 11th 191(L, is hereby authorized to make notation 4~~~
on his books to.show the release of said lien, insofar as the lien relates to the follow-
i taxes...
NAME O TAXPAYER ~ ~ ~ ~7 ~ ~f Q3
L ~ sett do~mrt - ~ ,q
RESIDENCE ~ ;QI~~
~i p116wT ~
~r• ~ ~ ~ VERlrfE'0
UNPAID BALANCE
KING OF TAX TAX PERIOD ENDED ~ DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
li tal (b) Icl ldl lal
j ~ ~ 1
i
f ` -
- ,
§ ~ PLACE OF FILING
~ TOTAL S ~
~ ~i n~lj ~i f
y WITNESS my hand at Jacksonville , Flo>}:ida ~ , on this,
~ -
t -
1
the 27thday of April 19 78 '
~ -
SIGNATU - TITLE
l:~t- -~!a•~
van
(NOTE: Cartitiuta of offiur auMOSitad by law to take atknpwladyrtants is not aNantial to the validity of Notiu of FadarM 4ax Lian G.C.M.
y 2819, C.B. 19501, 125.)