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Dva~n~ d tfi~ Trwtlry - ~nt~i
~v~nw,8avle~
~ ~ 6~ • - 6ertificate of Release of Federal Tex Lien
(RYV.a.w«~b..1~78)
District Serial Number For OoHom+ u.. br a.oonxrw otttc~
J~Idaoeie~ri3lo 466498 B-320 P-1834 ~ 30 ~ ~ S~
I certify that as to the following-named taxpayer. the requirements of section 8325(a) - e
of the Internal Revenue Code have bean satisfied for the taxes listed below and R06 ~
for all statutory additions. Therefore. the lien provided by Code section 8321 for ~C~ f
these taxes and additions has been released. The proper officer in the office
where the notice of internal revenue tax lien was filed November 19, ,
i 19 79 . is authorized to note the t)ooka to show the -release of this lien for
I these taxes and .additions.
Name of T
Ldp t1.~~~ i ?w~is H~lol~ a ~~ae!'~rd~
iMM2ri >it~. .
~ ri. ~i~ I~• Ti. 3~a~
unpaid Balance
KMd of Tax Tax Period Ended Date of As:~nent Identitlling Number of Assessment
j [U lb) [c) [W l~)
I
get 18-~-?S oS~t~-?'9 ~
9Ml 06-~-7d 10~~-?a
t
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~ Place of Fili _
cydt e[t v..lrt 360.19
S!. Lndi Owt~ Total i
This [:ertificate was prepared and signed at Jacksonville, Florida , on this.
the 23rd ~,ya Ma ,19 80
Sire ~ - Title
V E. 0
(Mw«~ cNtNio~ a oare« ..rmoaz.d ey aw to aka eetrnowNdpn~na a nat «s«Kw ro ~ vWdAy a MoHO~ a ~
~~QQ~~F.dral me ~.an o.aM.2sr~a rssa~.Ge. ass.) jm
d0llli~4 Pi~f le~ Part 3 - To be used for reoordMg ptuD~ Form 668 (Rev. X78)
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