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Form 668 DENUCiMENT OF iHE ~REAS~RY-/f1E1NAl REVRiUE SERVICE
(aEV. 1-701 ' CERT~IGIE Of REtEASE Of ~DBtAL TAX t~l
asrwcr . s~ r~uMaec
293869 Bk233 Pg148
1 r oert~ as to the folbwing-namsd Mxpayef the requirements of Section
6325(a), Inlenwl Revenue Code, have boen safisfied with respect ro the taxas enu-
m~oted below, together with atl stahrtory additions provided bp Section 6321F and
thot the lien for such taxes and statutory additions has tf~eby bee~ rdoosed. The
m the whe~e notice in~ernal revenue tax lien wos filed on
Pr~ ~cto r 2~ , ~ 9~, is hereby outhorized to make notation
on h':s books to show the release of said lien, insofar as the lie~ relates to the folbw-
ing fmces. - --
NAME OF UXPAYOt
Lwd~ • i i~M ~ ~
RESIDENCE
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For Op-1ono1 Us y Reoo~rdrg OR'~a ~
~ MAR 19 AN II= 10
Sf~E~ FECORpfO
1Y.F A
CLERK 6fRCUlT CQ RT
-'Cntr" :•: ~:~:~ 7 . . __~ -
"- ' tn~Pa~ a~-w~cE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DAT~ IDENTIFYING NUMBBt OF ASSESSMENT
Ia1 rol k) (dl le~
3i010 li.~•?~ 0'~•~~•7~ ~.1~.]~
~ ~ 70 ~l.~.7! 3+i~.~
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Pl.ACE OF FILING
aKk. ~f~CN~t ~11ft
.~. ~.tlCit CeOtNlly
FOf! PI~''C'~. F~I~
TOTAL' s f~~~~
WITNESS my hand ot Jacksonville, Florida ,~~a~
~ 20 th ~y o f Februsry ~ ~ q 81
SIGNATURE ~ ,
Vaa E. 0'Neal, ~~- Chief, Special Procedurea Staff
(NOTE: Cutificore of oRcer authorized by law to take odcnowledgmeMs is nd esse~id ~o ths volidily oF Ndic~ of P,edKd Tmc lien G.C.M
46419, C.B. 1950-S1, 125.) j
~ PART 3-To b~ us~d ior nwrdi~ Pvrpos~s M~~ ~~
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