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' Fa,~„ ~ oEn~erMa+r oF n+E n~wsue,r-at~s~ ~v~ ~
' ~~v N~oi ~' CERTHCAiE OF RBEASE Of fED~AI TAx LDI
~ WSTRIR SEf~/LL NUMBHt
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,~ 292854 bk-232 pY-1688
~ I hereby certify that os to the following-namsd taxpayer the roqwremenh of Seclion
; 6325(a~, Inlernol Rsvnrroe Code, have bsen satistied wifh respect to ihe taxes eiw-
( meroted below, togetF-er with oll statutory odditiais provided bp Sectio~ 6321; and
I that the lien for such toxes and srohrtory add'fions hos tF~eby been released. The
proper o~r in the olfice where notioe of intemal reve~us tax lien wos filed on
n~tnh r ~ , 19~4, is herobp authorized to make notation
I on his books to sFiow the release of said lien, insofar ~ the lian relates ro the fdlow-
in9 MxAS.
NAME OF TAXP/1YER
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RESIDENCE
, ~ ~, ~. '~a¢
KIND OF Ti4X
(o)
~
PIACE OF FILING
TAX PERIOD ENDED ASSESSMENT DATE
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CZIi'~~ ~i'il~t CoiR't
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WITNE$$ my F1a~lfJ Ot _7arlcQnnvi 1 1 E. _ Fl nri rln
, on this,
~e ~rd ~- Of Fphruorv f21
~
SIGNATl1RE ~ i n mlE
Van E. 0'l1ea1 ~~~71/ . Chief, Special Procedures Staff I
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i (NOTE: Ce~~caro of otficer aurhor+zed by taw ro rok. ockrwwledyrr~~,~ a~~d ~~~uefi- ~ r~a~. ~~d ~u~ c.c~
26419, C.B. 1950-S1, 125.)
~ PART 3-To b~ vs.d fo. r«o~n~ pwpos.s 8~J`!LD ~''!!",f~ ~l~
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i9N FE6 13 1M I~ OS
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Rp~R POITRAS
p,Ea( ~IttpNT CWiRT
6{ ~rRi ~'f?'.-li . y4~ ---
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51686~
IDB~TIFYING NUAABBt
(d)
5~1~~
UNPAID BALANCE
OF ASSESSMENT
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TOTAL ; ~~~