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«„,era Certificate of Release of Federal Tax tieq
oiatr~ct - s~tial N~unber ~ - opMond ofrfo.
JaRisaaa~ille ~ :307114 BR 239 PG 211 ~ MAY Z~ ~ ~ .
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1 certify that as b the fdlowing-named taxpay~vr. the_requirements of section 832b(a)
of the Internal Renrenue Code have begs satisfied for the taxes listed below and
for alt stat~itory additior% Therefore. the Ilen~provkied by Code section i}321 for
these taxis and additions has been roleased. The proper y i~ vE~€o-._._ _
where the notice of intemed_revenue tax Bert was filed on ~ s .
19 . is authorised to note the books b show the release of- this lien for
these taxes and additions. ~
Name of Taxpayer ~ - -
t L. liioose ~
Residence ~ : ~ 17t)e sta+str
'!'t. li,as~, ri 33450
- Unpaid Balance
Kind of Tax Tax Perbd Ended Date of AsssssmeM Identirylinp Number of Assessment -
la) ftr7 (c) [a) bl
]A40 12/31/72 S/14/73 137-18-9791 ii0.13
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~ Place of Filing
~ Clerslcs Circnlt Cowtt
~ St. Lect+~ 3oeaty ~ To#sl = 840.13
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i This certificate was prepared and signed at Jacksonville, Florida ~ ~ this,
the 15th ~ ~ _May - - 9 80
Signature ' Title
Van E. O'Nea Chief, Special Procedures Staff
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Part 3 - To be used for recording purposes 6613 t~• s~7l0