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- ~ ~ ; • _ - - ~ . ~ ~ ~ " t 7Mq HNANC1Nfi 3TATEMWt i? 1~ • ~fHe~r hr N~4 YMIMr~ Cw~wii C~r MMwiM ~M _ ' 1- D~bNrt.I llo~f Hwa Fl.st) awd.dda.s(a) S.oYr.i ?«hl»a) ..d aidr+ul«) ~ . _ ` ~r, cii~ ps~~ x~rs~ o.rp. 151590 P. 0. ~ooc 3~1. P. O. ~mc rj78 Ft. Pisras, Fla. 1~'t. Pisras, P'is. . TAis fi~w~ci~g stM~wwM cewn /1r fdloriwp ypw (~r iNis) ef ~reMAys i - 19'b3 Thba~d~sbitd ~'~bet~l~ss Botut -2T~~ ~F12Z1Z-U 1- 1963 I~sron~r 85 ~U' 1~[ator Ssr ~14b1943 1- O~tor Tta i is! (Ossd) s. ~..t.~ s.~..a r..~, ~+a~+..c«~ 8T. WdE OOllNTY BANK . - P. OQ ~00~ 8 e. c~ ~-«r.~p n» .+..w'~•r~•a sr c~w.. ao~, r.s. b... ~.ur w••i••.~s u~.M,~.«N. F~ PIERCE. FLARIWIB 3 4 a t ~Y, and wi4 M Pfacsd aw ae~r ~d~itiawl and ~iiwif~r instrv~wt Nat ~ep M w s~cw~d. Tfiis uaNw~nt b fihd w~N~oYf Mr d~blars si~whin N pr/W ~ wnwih MNnd i~ qN~N?d. (CMek ~ if s~) ?~?Ined7 +rb1Nd N a a~aMitf i~q~n+f w wMhM i~~iow wMw it wa 6~~~pM i~q tAb aNN. 0 wAid b P~«~S of Nr wioiwel colNwol dao~d aber~ iw ~rAid~ isNrtst ww Nrfrcwd: Ch«k ~ if cw~nds ~hacMds of CoiloMrd an a4e awnd. hodMs of GlbMrd ~n ~Me cvr~~d. Nw o! ~dfi~i~wal SMNs p~wwMd: fil~d with: . Clis~koa R~?, J~. . Pisros ias Park Co~p. ~ bY` s;p,e~,,. s) (s.s) - STANDARD FORM - fORM 1 p) fip.s OKi~rr C.r~? - A+~Nie.i ~owe.oe b r.. Ado.r, s.o.arr a s~1.. sah .f n«~a. ~ ~ ~ FIIED AND SECORI?E0: ~ ST. LU~ORD VEfttfi~Q~~ ~ REC , '6T JAN 9 AM I i: ZZ 1516`~ RO~ER P01TR~S CLERK CIRCUIT COURT ~~i64 ~ 297 _ - - - r _ ~ .