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COOlI"i'Y or alf. LOCI. )
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I RBPBWV CWRTlrY that on th1a day before .., &n officer
duly qua.l! fled to tA)e &cX.oowl$dcpaenta, personally appearea
PNtU.lnt ~, A.a ltxecutt1x of the Bat.ate of 1flLLlAA GUYAZ,
lHlceued, to ~ ltnown to be the perso'n d..cribed in and
who executed the torogo.inq lnett"UIMnt and she acknowledged
before tee that she GXec'..lted the .&IM.
WInr.&8S MY hand and official ae.al in the County and Btate
last aforesaid this /3. tii'~~y of ~ 1961...--
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of Florida
at Lnrge
My co.lUmiaeion e.xpiresil
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flED AtfJ REC"OROEO
lN~~~OOK
"'1 KM 13 "' I: 47
ROGER POITRAS, ClERK j
Sf. lUtl! COUHIJ. flORIDA 0 f(H~\clJ
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