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(11EV- i-77) CERTIFICATE OF RELEASE OF fEDERAL TAX LIEN
D18TRiCT ~ :ER297 PG 1093
1 herab~l aKtify-.dust bs to the ~fdlowing-named tsxp~yer the roquirsmsnts d section
83261aL Intsmsl Revenue Cods. have been sati:~fed with respect to the taxes erw-
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tam
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till story -tt,ereby~ rei~~d~
: ~ 1980 k~,Y 20 AM i~ 05
proper ofCosr in the office where notice d intemsl .revenue tax lien was 61ed on
Nnv t;~ t07ft ta._. is fiereby authorized to make notation 3 ~ Y. A.
on the books ~to show the release of said lien. insofar ss the lien relates to the follow-
i taxes. Rl[ 6 T t
NAME OFT AYEfi Rftl3M,lER,F1~0
~1~r 48'7'0'79
RESIDENCE ,
UNPAID BALAfICE
KIND OF TAX ~ TAX PEfIK>D ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMIENT
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PLACE OF FILING Qi~ ~ ~
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Jacksonville, Florida
WITNESS my hand at . on this.
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15th April 80
I the day of 19
SIGNATURE TITLE
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' Van E. 0' Chief, Special Procedures Staff
(NOTE- Grufiats of oHiw thoraad by taw to _ adcnowiadpnwnts Hoot assentiM to tM vsWiry of Notice of FederM Tax lien G.GM.
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PART 6 - To bs used for rerordin~ pu?poses 8~~