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Fotln ~ Departme~lt of the Treasury -Internal Rwenue Service ~~'i41
(a .8eptembert97a, Certificate of Release of Federal Tax Lien
District Serial Number Fo. opfranal Use by A•cordtnp otttcs
j~y~~ 461245 B-317 P=2444 - ~ ~ 15 ~ ~ Z5 ~
I certify that as to the following-named taxpayer. the requirements of section 6325(a) S ~
of the Internal Revenue Code have been satisfied for the taxes listed below and Q
for all statutory additions. Therefore. the lien provided by Code section 6321 for -~i
these taxes and additions has been released. The proper officer in the office -REte~ NERt~~O
where the notice of intemztl revenue tax liar! was filed on n~r~hpT -
19~g-. is authorized to note the books to show the release of this lien for 141
these taxes and additions. •
Name of Taxpayer
~~iaa ~'Nrla Ia1fe• ~ ~ .
Residence
!r. 0. ~R 212
- - Unpsid Balance
Kind of Tax Tax Period Ended Gate of Assessment identifying Number of Assessment
I
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Place of Filing
t7aaf fir 4ys'wdt Coiet Total = -
Jaid~ ~oan~j Qo~s~ 1a~al1
rl~cep tl. 33~
This Certificate was prepared and signed at JACKSONVILLE FLORIDA , on.this.
~ 10 daypf A ri ,1g 80
Signature - ~ Title
Mae: C•rfnicar• ai oHicN .uthortz•O by aw ro fake •cknowkfdym•nb b not Mt ro fh• valkilq? of Natlc• ar
F•d•?a/ 7vr LhA O.C.M. 26119, 1~bA-i, C.B. 126.) ~e~ e.r[~~ -
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