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. of~wnlrelT to TIE Ta~ulr - wfewu fKYENE .EEIIY1~f Fo. optical us. or Racnrdirlp Ollity
m~EV iei) CERTIFICATE OF RELEASE OF FEDERAL TAX LIEN
DISTRI~~~~ SERIpL NUMBER
17912 B-294 P-2113 - 482604
1 hereby certify that as to the following-named taxpayer ths~ requirements of section
f33261s1. Internal Revenue Code. •hsve been satisfied with respect to the tauces srlu-
metaoed below. together with ail statutory additions. provi6ed by section f3321: and X980 APR 10 - P!f 2= 38
that the ~ lien .for such taxes and statutory additions ~ has thereby been released. The - F EO A RE
proper officer in •the office where notice of internal .revenue tax lien was filed on S . ~ ~~FSr~~~
September 21 19 78 ~ ~~y authorized to make notstKln R f A
on the books to show the release of .said lien. insofar as the lien relates to the folktw• CHAT 6 T
i taxes. •f~filH VERIF
NAME OF TAXPAYER
s~i ~wi s. i~n~1r _482604
' RESIDENCE
. uNPao eAUNCE
KING OF TAX TAX PERIOD ENOEO DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
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PLACE OF FILING ~
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WITNESS my hand at Jacksonville, Florida , on this.
the 19th day of March 198U
SIGNATURE ~j ~ ~ TITLE '
V N~a1I " ' Chief S ecial Procedures Staff
an E
(NOTE: CeRifipts of officer authoraed by Isvv to tslre sdu+owlsdgments is not essentisl to the vsNdity of Notice of Federsl Ts: L»n G.C.M.
28419. C.B. 1950-1. 125.!
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