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y~ That on thu day, be f ore me, an n,~cer dul t• aut?wrixed in the State a f ore• I
~ said~a,nd in the County a/areaaid ta t knawled ments, son lly ap e
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to me kno~n to be the ~eraon ~ descrebed in and who executed the f oregoing inatrume?tt and ~
~ acknowled e be ore me that execc~d,the same. OW~-
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?nY hand Qnd o ' seat ~n ~he ounty and State last ajureaaid tius
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":s'"~ - MY Commisson t~x., of Florrda at Large
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RECEIVED : IN PAYMENT OF TAX[S
DUEON CLA5S'C' IMTANGlBLE tEkSOEIAI PROrERTY. I
PURSUANT YO CHAPTER 20724. ACTS Of 1~Ii,
ROG-R POtTRA Clerk Circvit Court
W S l"ra i t= o~ F L U~ i[~ A ` as Agent for CU<TIS M. ~~nEs
~ w DOCiJ~ENTAo~STAMP 7AX St. lvti~ County 1'~x ~ctor r
J ~ _ OCT±2'65 ~
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cnr~~ra:L.._R ~ ~ DEPUTY CI: ~
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_..Fort..Piercl~..~Q~'~d~-----------------------------~~(11.., 19_ag.. a
NO. -
---J---._......N.~~~!Y:.~9lXA-------•-----•-•-----------------------------afier date'~?:e..~~4='_ raanise8 1/12~G6
P au~_--------~
Sdgan~attr RanC~~s,--.Iac.--------------------------------=----------? SOO.OQ.---- ,
so pay io ihe order of
Five Hundred and ao/1t1U DOLLARS, ~
its vtlics in Fort Fi~re• llorida ' ~
at•----•-~--~---•---------------------------•-------------------..........~e-•-- for value received, ~
with inieresi ar the raie of..1Q._...De~'.` ru. ~er an ntil , ~oge~ ith reasonable at~orney's
fee, if given af~sr maiurity to aCt? .~22or~e ~ e ion. ~
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'~jl~~~~~id a~d Ior sole bi Dr~~ nY~~~~ . s ~~a~~ -
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