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<br />I" <br /> <br />T AX PERIOD ENDED <br />Ibl <br /> <br /> <br />TFi";~~al_q~Bx Reco'dl~(J!!'~_"'~_,= <br /> <br />I" <br /> <br />DEPARTMENT OF THE-TA.EASURY-INTERNAL REVENUE SERVICE <br />CERTIFICATE OF RELEASE O.F FEOERAL TAX LIEN <br /> <br />.., IS. ER1}\.L NUM. SER <br /> <br />.---J .. . <br /> <br />I ner.by certify tnat as to tn. following,named taxpay.rtne requirements of Section <br />632!j(aLlnter"il' Rev.enu. Cod., have been satisfied.wittlrespect to tne taxes enu. <br />m.rat.db.low;.togeth.r with all statutoryaclditio~.provided by Seetion 6321 ; and <br />that .th. . Uen .. fot such taxes and statutory additions hastllereby been released, The <br />praoer officer _'in- the office where- notice. of _intern~1 revenue tax fi_en was: filed- on <br />_.~Lebruarv--.?_~._._.~, 1917_, is hep,by alJthorizedto make notation <br />on hi-s b~oks-to'-show the release of said Hen,- insofar. as the' lien relates to the follow. <br />jOg t.xes~ <br />NAME OF TAXPAYER <br /> <br />DISTRICT ..... <br /> <br />Form 868 <br />(REV.12~7-4) <br /> <br />"....... .......ll. A. ~ <br /> <br />REfifi,~I. JIl t" <br />... ..l.....~ ....... 688IU <br /> <br />I <br />=j <br /> <br />KIND OF TAX <br />lal <br /> <br />DATE OF ASSESSMENT <br />leI <br /> <br />... <br />.... <br />.. <br /> <br />u..3t..n <br />12->>"- <br />11,..)1-" <br /> <br />....... <br />iN."",,,,'" <br />I.,...,... <br /> <br />_____. I <br />1--- <br />I <br />I I <br />! I <br />I 1 ____ <br />~. ... ..1 .. ..---r---.'.. . <br />I I <br />I <br />;.< . I I <br />I L___ <br />P~~I'.W~ <br />.... ..,. .... <br />....... .........IlIll_MIIIt <br /> <br />wITNess my hand a,___._ ~.'.. NebrasJ::':.___.__~._____", <br /> <br />SI~~~~'~----lTITLE <br /> <br />Donald J. Eh I Chi.ef, <br />--~. . <br />(NOTE:; ClMtiflcote_o1 ofti(:iJt authotil'ed by law__Io taKe acknowtedgment. i. noi-&ue:tltiai,to the.....alidltv of-N-Q1;lc,.p't: F.ed.t~i-:Ta;.'P-n\~'~C;.M:S~::~ <br />26419~C,B, 1950..1, 125.i <br /> <br /> <br />;::o__~:iN <br /> <br />th....2~~.yof__ June ____, 19__~_~___.____~_ <br /> <br />PART 3 - ro be u.ed lor recording purposes <br /> <br />L <br /> <br />L <br />