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STAT6 OF ~Q.~/DA
rc.i~.~_~t' -
couNTY OF 5 f, vci,E
On this day personally appeared beforo me, a~ offioer authori~ed b tske adcnowledyement~ of desd:, etc. ~
LILLIAN M. SMITH, a widoow
to ms well known and known to ms ro be the peaons dssuibed in and who exec~ted the fore9cii'~Q clesd. snd Bhe
adcnqvylq~c~.~lqforo me that 9he exewted the ~me for the uses and purposes theroin sxpresssd.
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_~a&?~:~tiri~t~stt r " ~s~Lt ~i.E~G.E
. , ~ •"•'~R€~~ i l~ava l~~+araur~ ~3 =ny ~ar~ ara~ t~fk€a! ~~l, at - -
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sr~ .`3` •§tft~.this %li.~'~vD dsy of OR/~t. , A. ~ D., 19~.
~ ,1t ~ ~a-+~~~ . i : . ~4~ ~ ~~G~~
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V-D~r • ~ ~ _ . , : ~ -
~ ~ ~ ~ ~ ~ Notary Publk, State of - ~it.O~G/ D f1
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_ • My Commission F.icpfros ~-T
STATE OF
COUNTY OF ~
I HERE8Y CERTIFY, THAT ON THIS DAY P~RSONALLY APPEAREO BEFORE AAE,
to me well known and known by me to be the Pres'ident and Seuetary, rospsctively, of
a aorporation, and the persons who exeatted the foregoin~ instrument as wch offiosrs of said oorporation, s~d they adc-
nowledged ro and before me that thsy exxuted the same as wch offiaers of ~aid corporation, for and on its bshalf, for the
uses and pu~poses therein expressed, and that the seal sffixed thereto i: fhs oorporate ~al of said oorporation. _
~ IN WITNESS WHEREOF. I have hereunto set my hand and affixed my offidal seal at
said County and State, this day of , A. D., 19
~
(NOTARY SEAL) Notary Publk. State af
IIAy Commiuton Expires
Ec RoEo
~ F~~EO AN eooK
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~ '66 ~?Y ~ -
~ . 14513'7~LERK
~ ~o~c R Fo~ ? ~aSUN,~Y.
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