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the nominee to ('xecute and deposit with him(them) a signed sta'tement
evidencing the t't"ust ownership and the trust records and all reports
or accounts rendered by the Trustee(s) shall clearly reflect the O~ler-
ship by the Trustee(s) dnd the facts regardin~ the nominee arranbement.
IN WITNESS WHEREOF, the parties hereto have hereunto set-t't1eir
hands and seals, all of which has been done, as of the day dnd year and
<it tile place first above written.
S i).~ned, sea led dnd de 1 i vered
in the presence of:
(~EAL)
.....
----
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As to Georbe A. Simon, indi-
viJually and as Trustee dnd
Chc\rl()tte J;. Simon, his wife
A. Simon, individually,
Trustee, joined by
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Char lot te B. Simon,
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nls w~_e
,.' (:;EAL)
L~,AL'
\-Jalter Hart
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,\s t u \"a 1 tel' fUr l
FILEO Nlr pr-CC:;nED
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!%";-:~I" ?:', ::'1" {' fir.,
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S l'!\ n: uF FL()i\ IDA
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~ r. L U C lEe 0 U N T J. fLU II I ,I I
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I ill:::REBY CERTIFY that on this day personally appeared before
~nc ,
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ufficer duly authorized to administer OJths cmd take acknowledbe-
C:~ORCE A, SINON, individually and as Trustee, joineJ by his wife,
.Bents,
CilAiZLuTfi-: 1'" :)li-1O~ (0 me well known to !J,e toe persons described in
emd ..lhl) e;ccutcd the foregoinb Declaration of Trust treely and voluntarily
cWO lor the purposes ttlerein expressed.
Witness
0:" iJcce:nber,
ct...
j d 1 " D >de C....U11ty L'loriJa, this c2J - day
my hJnc an sea' at niami, u v r
1 y 60 .
>ty Commission I-><.pires
Notary Public,
State of Flori