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=-»I CERTIFICATE OF RELEASE OF FEDERAL TAX LIEN
DISTRICT - SERIAL NUMBER 5~~
4242b0 `Bk 298 P 409 W~
1 hereby certify that as to the fdlowing-narrled taxpayer the requirements of secdiwn
8326(sI. internal Revenue Code, have been satisfied-with respect to the taxes enu-
merated below. topstllsr with aN statutory additions provided by section 8321: and ~5.~ s4 F~~ f2= ~
that the lien for -such taxes end -statutory additions has thereby been released. The '
offlaer in the off~e where notice of inferno! revenue tax lien was filed on F~_: r Ee,f s ~ r i,
~i~ f! ~ i M
ove~ber 17 19~. is hereby authorized to make rotation . . -
on the books to show the release of said lien. insofar as the lien relates to the folkwv ;;;,t;,,:: f :;1;,, '1~
i taxes. Fi.t,."~ -1~.:t~- .
NAME F T PAYER nn
~L•5~~
RESIDENCE
~ ~ Ass
uNPaD sAUNCE
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
Isl Ibl Icl - ~ Nl
i
~ PLACE OF FILING
C~~ M ~ ~
~ ~ ~ - TOTAL
~ ~~~p Elie ~
i WITNESS my hand at JacksOeville~ Floridw , on ~K,
E
the 4 h day of October _ 1980
SIGNATURE ~ TITLE
Van B O'Hea ~aryCl Chief S cial Yrocedurea -Staff
(NOTE: Csrtiticsts of ofhpr twthorQed M Isrv ua tadueowNdgn+~nts n not wa~nuM to tM vaYdiq of Notice d Feral rax lion ^7~.
2819. C.B. 1950-1. 125.1
p PART 6 - To bs used for recordirp puryoses 800 pd~E ~ ~