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A P P I DA V I T
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COUNTY OF ORANGS) ~ ~
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STATB OP PLORIDA) -
-DONALD J. ANDS1tSON, being under oath, does say;
That MILDRBD B. ANDBRSON is the same person also known ~
as MILDRED RUTH ANDBRSON, and that MILDRBD RU:~'H ANDBRSON is now ~
,
deceased and DONALD J. ANDBRSQN, also known as DONALD ANDBRSON,
is the surviving husband of MILDRED RUTH ANDBRSON and is a single '
adult and further af~iaa~t:: sayeth not.
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Sworn to and Subscr-~ed ~
befo me this ~.S_ day
' of 196?.
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My Commissioa Expires: "
'~atar~? P~bi'ic. Siste ol Hai~a at ls~a
3Ay Cowmisiaa Exp~es ioaa 15, i971
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~ FIlEO AND RECORDEO •
_ ST, ~UCIE COUNTY, FLA.
R~'CORi; 'l~~tF±ED ~ ~
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'61 S~P 28 AM {0: 81 #
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_ C~RK._~RCUf7 COURT
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