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1N w1TN~SS ~HEREOF, the seid modgagor has heceunto set his hadd and ~a~ the dayynt?'q'eac first afae-
said. .
, Signed. seakd, and delive~ed in the presence of- `
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STATE OF FLORIDA •
COUNTY OF ss:
Hefore me pesaaally appeared snd
his aife. to me aell knoqva and knawa to me to be the individuals described in aad who esecuted the focegoing
iastrument~ aad ackaowledged befoce me that they executed the same fot the purposes therein expressed.
~ITNESS my hand and of[icial seal this day of , 19
Notary Public in and ~or the countr and State a~oresaid
My commission expires
STATE OF FIABID~A ss:
COUNTY OF 8T. IACI~
Hefore me personally appeared ``T pQ?j~ , to me well knowa and known to me to
kp~t~Mi"~'i~idiridual described in and who executed the faegoing instrument. and acknowledged befae me that he
_~~;ec~q[~;Wq gqme for the purposes therein exp~essed.
~1TN~S{.4y~hand and official seal this Tth day of BAp~lbAr . 19 66
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s. ~c Notary !ic iit and or the coun`tr a~d State a
!n~tsaid
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- J` PU'JI~K. ~I7t! O~ ROlldi ai La:Q!
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. My commissian e:pires M11 ~P~~ ~in. S, 1970
~a•a.e ~se~rt,n ?r. 3 C~wrr CQ~
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8efore sa per~ao~lly appsazsd JA~ KIId.I~i POlT~, to ~e wll kaova and lmova to ae ~
to be t~e individnal deseMbed in ead who es~eent~d the loreg~oing inatrnaent, and aelo~ati?ledgsd ,
belore s~ that he e=ecnted the saas iar t~u pnrposss ths~reia ezpressed.
YITBS48 a~r hand and oft'icial asal this / O_ day oi 8eptetb~r~ 1966. ;
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Tbis iorm mq be used aa the secarity ~ •,:'".i'/;
inst~ameat ia oonaection ~rit6 mortgages ^ , : ,1 ~ , ~
w be inaored onder Sectiona 203 and 222, ~0~1'~ pt1~1~C ~ll 8Dd Or ~@ q! "
and io~conaection with "individud o~ort- 8~'pt'eggid :c : ~ .
aasea to be insared under Sections 213. n:~~ i
~j f';`n
220.221. 233. 809 and 810 ot the Nation- j~ Qp~8Bi0II eXp~Z'~~ 2~:~..~%b~~~..:!~ ~
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