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OErMfY~T ~ Tf~ T~EASIM~ -/IT~I ~EMBiNE SNIYKE
~A v i6i~~ CERTIFICATE OF RELEASE OF FEDEiGI TAX LIEN .
DISTRICT * SERIAL NUMBER
449 576 Bk 311 7Pe 17~9
I hereby cenify that as to the following•named taxpsyer the requirements of section
6325(s). Intemal Revenue Code. have been satisfied with respecc to the taxes enu-
me-ated bebw. together with all statutory additions provided by section 8321: and
that the lieo for such taxes and statutory additions has thereby boen relessetl. The
proper offio~r in the offioe where notice oi inter~al rove~ue tax lien was filed on
June 19 , ~~79 , is hereby authorized to make notation
on the books to show the release of said Iien. insofar as the lien relates to the folbw-
1f19 La719S. -
NAME OF TAXPAYER
; ~t~.r ~s ~Itl.~t
I RESIOENCE
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fo. ~ us. er a~ oM;cs
514024
~~ ~nN is a~ ~i= Zs
fILEO ANC FEClfRO[~
St.~uciE touNtY.Ft a.
R06ER PO.ITRt.S
CLERK CIRCU~T COt! i O
(~~'[
4f~L~f:\~;f'i to_ ~-~r ---'-
5~4024
uNr~u~ enu-r~
KIND OF TAX TAl( pER1pD fNDEO OATE OF ASSESSMENT IDENTIFYIMG NUMBER OF ASSESSMENT
Isl Ib) Icl Idl H1
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WITNESS my hand at Jac~sonv~.lle. Florida
che 5th day of December 1g 8t
on th~s.
SIGNATURE , TITLE
Van E. Chi_ef~~nec~_al ProcedurP~ ~ff •
(NOTE Cert~f~ute ol oH authorKed by tslrs sckrwwlsdgir~ents ~s not sss~nt~al to tM vabdty of Not~a M ied~al Ts: lHn G.C.M.
26419. C B. 1950-1. 12 51
PART 6- To bs ussd for rscording purposes ~~~46 p~~~2~1 '
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