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F~ ~~ Osp~~tm~nt ol ths Trwury - InNmal Rw~nw 8~rvic~ ~/
~R~, ~.,,,~,~~, Ce~ificate of Release of Federal Tax Lien
uistr~ct se~ia~ Num~ S~`~7`:~ Fo- Optlan~/ ib~ b~r R~ca+41o0 ONl~~
Jael~a~iila~ ~'f~ 501315 Bk339 Pg1950 ~ ~AN 27 ~M ~ 45 '~
~ oertity tnat as co tne talowing-named taxpayer, the reauirements of ssction s32b(a1 - F~t~i~~~+~ Fcc~o
of the Intemal- Revenue C.ode have been sstisfied for the taxes listed below and S FtOGER PaTRAS~~
for stl stahrtory additions. 1'herefore. the lien pro~vided by C•ode eection 8321 for CIERK C~RCUiT COURt ~-
these taxes artd edditions has been neleaaed. The ProPer offioer i~ the office arf.G~.^•rrr.n:r~?--- ~----
where the notice of intemal revenue ta~c lien was ~led on Seutember 30 ,- ~14~6
19_8II_. is authorized to note the books to show the release of this lien tor
these taxes 2u~d additions.
Name of Taxpayer
1l i i Citsv ~as~r~atL~ Iac
Residenoe ~,p yoc 7~
~ n~.~e., n ~au -
Kind of Tax - Tax Pe~iod Ended Date of Assessment
(U cpJ !c)
K~-u ~n2
Place of Filing
Cl~lIG~ C1rc~it Gwst
st Ltiel+~ Grt~/
ft N~re~. R 3?4~0
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This certificate was prepared and signed at
the 16th ~y~ .Jat~~aty ~9 81
/- .
0i-~~0
Jacksonville, Florida
T~al =
Unpsid Balsnos
of Ass~nent
(~)
21,017.3i
21,0~7.3i
, on this, -
Signature ~ Title
Van E. 0'N~~"~~"~v • Chief, Special Procedures Staff
Mar. ce~r~tic.re a orrKer aurnw~:w ey aw ro aks acrv~owrsa~mann a na ~ss~nc»- to t vatieiry ol Notk~ a
F~Wrd Tu LNn O.C.AI. 2dr/Y, 1~54f, C.B. 12b.) ~Q~~~ s.M
` ~ t~~J f~WC~a~ ~RAV. ~78)
Part 3- To be used tor recordfrW purPoses F
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Identiiyirq Number
l0)
S~l~171l3M-
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