HomeMy WebLinkAbout1875 - ~
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F 668 o~~r oFnte ~wsuer eEVf~ stlp~ Fo? ganono?:urt Br Reoadinp OIBc.
(Rtla~tz CE~TiiGTf;Of RgEASE FOAL TAIC~! -
DISTRICT SERIAL .UMBER - ~
~ ~ 3166 ~ 7 BK 243 G
C,
! ;;1 hereby certify thot as to the folbwi Mxtjayer the requirements df Sec~on ~ `
6325(a};-Internal Revenue Code, have ~ieen scdrsfie{d Mnfh respect to ahe twces Otw-
aerated= bebw, together with all statutory ~ ;provided .by Section 621; and ~ ~ ~ •
i that iht^ 1'~en for such taxes and statutotj? has thereby been releosed. ~ { ~ ~ ,v
proper m the office where notigy of~fiilernal revenue tax lien was filed~~n ti ~ _ ~ G
• Sep 12 , 1975 , 19t= ^:,k hereby authorized to dioke notation i , ~ ; .
on his books to'show the release of said:lien,'it~ofar as the lien relates to the•foHaw- ~ ~ E
ierg taxes. L ? ~ ' - x.
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NAME OF TAXPAYER ~ ~
~ RESIDENCE ~ ~ ~ ~ ar
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- UNPAID BALANCE
qND OF TAX -TAX PERIOD ENDEb DATE OF ASSESSMENt IDENTIFYING NUMBER OF ASSESSMENT _
-(a) lbl kl (d) (e1
~Q~p ~~3~1! l9~i'!~?! CIl16.3~•~16~! s6S?+r6!
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1960 I~AY 20 Ali 30 -
F# t:0 ANC ~ TtRAS
iT. CNI~
~p~MEIaF
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- 4~Oa,Z
s ?IACE OF FILING r.r~1T
r.,~
$T. ~UCI~ G~tlr1~Y TOTAL = 6~,1~
Jacksonville, Florida
WITNESS my hand at , on this,
the 29th doy of ~ April 80
1 -
SIGNATURE ~ _ TITLE
(J
VAN E. O'NEAL CHIEF, SPECIAL PROCEDURES STAFF
(tdOTE: CertiAcate of otfirer authorized by law ro toke ocknowledgmenis is not essentiol to the voGdity of tJotiu of Federd Tax lien G.C.M.pas
26119, C.B. 1950-51, 125.)
PART 3-To bo used for recording purposes ~ T~~~~ f