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5~'~ITI" O~ F't~®R II3N )
Cdtr P+P'!"Y OF 4~1E. V5 I A )
I h'ERE~Y CER7'I€Y that on this ~Iay, bstors sue, an at'ficsr dLly
authorized 4a the Slats afioreaaid and iaa the County a~'orseaid to take
aCknv~rlsdnta, personally appeared Charles ~vsrstt C~aiaizoltt, a-n
unmarried man, to ~a -:narrn to bs th+c parson d~sscribed in and rrho executed
Lhe foregoing instrua4snt and tams atltnawlsdgsd btfars that hs execated the
aamt.
WI'PNES5 ~
aforesaid this hand and
1~°day t~Pi`ictal seal
of in the County and State last
A.I7. 196,.
Notes I'ts~l i~ "
/ Ce~ission expires
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