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FoS~n . otswnae~rr of ttte newer-s~rt[~r~u etvR+ue Fo. Ctonanol u~. e~? R.oordro OAio.
(ttEVt t ao} r C~1flCATE OF RElEASi~ Of ~A1 TAX !~1
DI t
84?6~35 BR 228 PG 2024
1 hereby certify that as b the following-twm~d-taxpoy~er the roquireme~nis of Sadion ~ .
632510), Imerrwl Revenue Code, have been sotisfied with respect ro the taxes enu-
merated belaw,.together with ap stotc,ton? cdditions provided by Section 6321j and ~Q NAY QO ~ ~ 30
j that the lien for such taxes and statutory additions has thereby been. releosed. The
proper ofFcer in the oflioe where of internal revenue Lox lien wm filed on )t ~
13 Jun 17. 197 ly . , is au~ized ro make notation
on his beaks ro show the release of said lien, insofar as the lien relates ro the folksw-
ing truces; R~
NAME OF TAXPAYER F~ 1 r
RESIDENC'f - 48'795
~ -
tMIPAID BALANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFlfING NUMBER OF ASSESSMENT
(a) Ib) kl (di (s}
"
i
i
Pu?cE ot= HuNC '
TOTAL s
aa~
WITNESS my hand at dsRlaeefrvk-l~}e-s-p~e~~d~ , on this,
the ~~.doy of 19 $g
SKaPt/?TURE r 1 TITLE
t
Chief, Special• Procedures Staff j
ovthorized byr law to take adcnowledaments is not G.CJrI
26~15?, C.s. 1950-51, 125.) ~ P~~~ ~
PART 3-To be used for ncerdirtR purposes
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