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STATE ()~ ~`t~t)T~€i)A
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On tht~ ...................ut~y of..~FRxI'...................A. L`. i~........, t~efore mc_............._ ...... _... .
perso~~~lly sp}~eered ....~.~.~-~.~...~~I~~.~~ .................. ('ierk of the Circ:fit Court ir, ar~fl fr,r tine :Mete end
C:.ou~;ty af.+~rteartd, to i~~e knov-n to t,e tha per~~n desrriLed in, anti who ex?~uted the tong+,ing inetru-
m~nt, ar~d arknDC~iedg~d the execution ther~ot to ba hiR o~+n fr~a a:et an~j lief=:: for the u~r a»d pur{~oscr
therein raentioneci.
Witu+r my L•~n~3 end a~ff±ciel aeRi ft~ete aff:r~ei%. ~-~ /-~ ~ 1 ~
S'I'Re~ CZ~' 1~1,()liei)R j
COUhT]' OF
!3a !t hetnembered, That o:~ thia............day' of ........................... ..................A. D. 19 ...._,thf tore-
~oing ir~etrum~nt of writing was preeenter3 for r~eorct to the aui~~. ri1~~r, the ('lark +~f the ('ir: uit ('Di:rt it
eiid fo, the E'ou!~ty sfcrPe~ifi, ~snd tli~ emir t.>Pirig properly authEjnticateci, I here :{+,It• rerorcted 'hf~ ea,ne
in lt~x~k ................. F'a~re................, ar>r€ have verifi?<{ tine rec~~rcT.
ir: '€'eatimetiy 1~'hereof, i have ;if~reuaito Lei pry },ar:ct
snri sftixtd t~'ie nec~l Df ;mid Court the ~Itf}~ f:~:++. ','t'St
meniiorect ~ttDVe.
('irk. Circuit ('Dort,..... _ i :~.•t}~)
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