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~~y ~~q ~ U. 5. TREASURY DEPARTMHYT - INTERNAL REVENUE SERVICE For Oprtonol Ys. !r R.corJl.y OH:c.
~ (REV. 4-65~ CERTIfiCAT~ 0~ R~LEAS~ OF fEDERAL TAX lIEN
DISTRIGT SER~A~ P1UMbER
Sack~ o i~v e, 'r'la. 11990~ OR 73 pE; . 332 I
~ ANA~ RECQRDED
1 hereby ce~tify that as to the fcilowing•named toxpayer the nquiremenri of Section 6325(a), ~ ~,~(jl ~ o O K
Irternal Revenue Code, have been satisficd with respect to the taxes envmerated below, together J~ fJ l
with all statuMry additlons provided by Section 6321 ~ and that the hen for svch taxes and `~j~,~„~~
stotutory additlons has therehy been relea~ed. The proper cfficer in the office where notico of~~ ~AM 2 0
internal revenue tax Ilen was filed o~ ~ctober 24 , 19~, Is hereby PM ' ~ S~
authorized to make notation on his books Fo show ihe releasa of said Iien, Insofar as ihe Iten ~~(~-t
Ki1
?e~are: to rhe fouoW~R9 roxes. - R GEF~ PpI i RAS. CLERK ~
Hr~1E OF T~AYER S T. LU C I E C O UN T Y
Henry G. PeF,~,f I~. ':thite FLORIDA ~
RESIDENCE OR PLACE OF BUSINESS
291~ 3ylvar. Terrace ~
rt. Pierce, ~~lori:i~~ now 703 Gardenia
~ ~ Tpx UNPAID BALANCE
(Tax Ret~m fortn No.) PERIOD ENDED ASSESSMEiVT DATE IDENfiFYING MJMBER OF ASSE55l~1gJT'
(a) ~61 (c~ (dl lel
1~40 1961 ?-12-63 63-~-3bo1+4 5c.~7, 03
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PLACE Of FILING Clerk of tt-ie Circuit Court
at . Luc ~e C;oun'ty roT~ ; 5~7 • ~3
.~ort Piarce, Florida I
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WITNESS my hand at Jacl~,sonville . Florida , on this,
the 6th dayof ~unuary , ~q b6_ _
DISTRICT DIRKTOROF It~tTE REVENUE BY (SI ture) TITLE .
F. S. Schmidt /G~~,~~ Chief, Special
itiL Procedures Section r.~;
(NOTE~ Certiflcate of offlcer authortzed by law to take adcrwwledgmentt la not essenNal to tF?e valtdity aF thfa document. G.C.M. -26419, GB.
~950.~, ,zs.~ ~ R 136 4~5
PART 3--To bs used for recording purposes BOOK