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~ F,Q?~~ oE1ART11ENT OF THE TREASURY-INTERNAL REVENUE SEIIyItE For Options/ !/fe By Recording /ice
I tR>:v. sou CERTIFICATE Of RELEASE Of fEOERAL TAX LIEN
~ gISTRICT SERIAL NU B
327346 B-248 P-2618 4~~~
` 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- _
merated bebw, .together with all statutory sdditions provided by Section 6321; and
that the .lien for such taxes aril statutory additions -has thereby been released. The ~ ~ Z~ ~ ~ ' Q
j prog~ryitE$he office where notit~(pf internal revenue tsx lien was filed on v
~ 19 , is hereby authorized to make notation
~ on his books to show the release of said lien, insofar as the lien relates to the follow-
} i taxes. •
I NAME OF TAXPAYER
Rlll» VERff1EQ
~
RESIDENCE
! 1~
~
' ~ UNPAID BALANCE
KIND OF TAX - TAX PERIOD ENDED OATS OF ASSESSMENT IOEPLTIFYING NUMBER OF ASSESSMIENT
lsl Ib1 Icl Idl lel
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~ PLACE OF FILING ~ ~
Q~ TOTAL S
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WITNESS my hand at Jacksonville, Florida ,on this,
the llth~y of April I9 80
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SIGNATURE !I TITLE
Van E. O'Neal ~ ~ ~ Chief, Special Procedures Staff
s.•
(NOTE: Cartifieab of offigr authorized by law to take ack~owladymants is not ea~antial to tM validity of Of"Fadaral Tan l.i~n G.C.M.
26x19, C.B. X950-1, 125.)
i PART 3-To be used for recording purposes ~ ~~C