HomeMy WebLinkAbout1858 t
` .,,r - ~ ~ , - mil'
F~n 668 o~rutrMewr oR rnE n~wsuer.-NtEaw. rElrrt+ue Sconce rs Fy. o~no~ot fhs b R.oo~d~~y ON{c.
f (az ' tA~7{) _ CQi1~ICATE . RBEAfE 1MfE8E~R
AL TA?f~~i i ~
DISTRIfrT S~tUl~~~ti36 BK 238 PG 226 4~~~1~?5
I,hereby'oertify that as to the followi the requirements of Section ';f .
6325(ok Internal Revenue Code; have `satisfied with respect to the taxes Fnu- r
n{eroted=below, together with all s:atut~r provided by Section 6321; and ~ NAY~p ~ ~ 0~
tfwt the-I'bn for such foxes and sroivtoEy a~ ,has thereby been released. the ~ 'i
pro~
ppeerr officer in the office whero notion of ~lriiernol revenue fox lied was filed~~on
' MaY -21, 1975 , 19'.~.~,,is he~pby authorized ~ to: dioke, notatan
op his books to show the release of said: lien;~frisofor as the lien relates to the follbw-
inp foxes. _ _ ~~ltlFf$@ - ~ -
NAME OF TAXPIAYER
» owiilt ~~~0"JS
RESIDENCE - -
i Orwl¦Mr
. t~1PAID BALANCE
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMEN IDENTIFYING NUMBER OF ASSESSMENT
(ol (b) k1 (dl - (e1 s
lI~O T1)t O~•OO~s ~~•3l•~!'~3N . 1~1~.13
3I
1
I
I
I '
f
f
PLACE OF FIIING ~
~ TOTAL = 4~7e~
F~ PIEtl~ fLAR10A
I
Jacksonville, Florida
i WITNESS my hand of , on this,
~ 17th day of Apri 1 19 80
SIGNATURE j TITLE
f
Van E. O'Nea Chief, Special Procedures Staff
(NOTE: CcrtiRcaro of ol8cer outhoriz by law ro take edOments is not essentid ro the vdidily of trotice of Federd Tax Lien G.C.N~w
26114, C.B. 1950-51, 125.)
PART 3-To be used for eecording purposes P~~~~ '