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IREV. 2•rn ~ • CERTIFiCATF 8F RELEASE OF FEDEIW. TAX UEM
DISTRICT 'SERIAL NUMBER ~~~~1~
- 387949 B-278 P-2801
1 hsraby ~osrtify that- as t11e ~oNowinp-Mmsd, ts~syer the roquirsmsnq d siatioo
832b1a1 Mtemal - Reverllls 'Cods. haw besri astisfisd• with respsrx to the taxes enw
nteraatl bak?ww, topstllsr with sN stswtory addiciora provided by secNorl 832t: ar+d 1980 MAY 27 PM ~ 00
thst ttN Nan .for such taxes and statutory additions has thereby been rslesesd. 'The .
proper dFiosr m -t~ office whero notios d innrrtal revenue tax Gen eras ~ ftbd_ on F ~ a .
December 19 1Q?7 ~ is hereby authorized to make rwtat+on aT~ QAg
on the books to show the reksss d said lion. irgofsr ss tM lien relates to the follow-
i taXSS.
N F T AYER ~ L ~ ItilNts VERtFt~B..~--
. 48!15 •
RESIDENCE ~ ~ ~
. uNPao eAUNCe
KIND OF TAX TAX rER10O ENDED GATE Of ASSESSMENT IDENTIFYING NUMBER OFASSESSwENT
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PLACE OF FILING •
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WITNESS my Band st Jacksonville. FL ~
on this, }
i Y
~ ~ 1st day of!~a~G - /9 AO.
SIGNATURE TITLE
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Van E. Chief, Special Procedures STaff jp
1NOTE= Ctxnfc~a d offiorr rutnorwa M bw to play idknowMdpn»nts a not t+~stanntal to tn~ vnlieity o/ Nona or Fod~tN laic tin G.C.M.
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PART 6 - To be used for records ~
np purposes Pffif~