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IN ~ITNESS ~HEREOF. the said matga~oc Irs ate~dptp set bis liand ud se:l tbe day aad ye~r f[rst aEae-
said.
Sl~aed. seakd. aad delivered ta the qesence af- .
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111~ G. Ha ey
~ [SEAI.~
~ Velaa Hailsy [SEAL]
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STATE OF FI.ORIDA
COUNTY OF IuCfe ss:
AIFI~D G. BAIIEY aad VSLlA S. BAIISY
Befae. 4~..~e=soaallY aAP~~ '
hls~~iiM;~Ncf~'~ae,;.iffll _known aac knuwn to me to be t6e individu~ls described io and wbo e~c~cuted t6e foce~oin~
.At,:l~'~AQ!~!~8ed before me that they executed the same fa tbe purpases thereia expcessed.
;,L~~;iaY.~ba~d ~ad oEEicial seal this 19th day af December , 19 67
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,f (I L: t_ ti G' ublic in and / tlke o ty and State a/oresaid
~ ;tl ~ ~obry ~c. Stste o( porid~ at l~
. ; • ~ • ' • - r ~ CoaaMSSaa E:pira la~.~ 1910
` - ' \ . Yy commissioa ezpues ~ ~ ~ r
~ . -
S'1`~L'O'i?' ss:
COUNTY OF
Befort me personally appeared . to me well kaaovn and knava to me to
be the iadividual desaibed in and aho esecuted the faegoiag iastruraent. and ackr?owledged befae me that he
e:ecuted the same for the pucposes tLereiu espressed. -
~1'TNESS my hand~ qnd official seal this day oE . 19
Z R~CQR~E~ Notary Public in and jor u6e countr and State a~oresaid
FII.ED AN~ p~NtY Fl-a.
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UC~~ C•~ f:: ~ Y~~-. My commissioa e:pires
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T6is iorm msp be used as t6e sec~ity
~ iaattu~eet iu ooanectiou ~rith oort6aaes .
W be insared ander Ser.tiona 2U3 asd 22Z,
sad i~ connectio' r?ith "iadividaal ~at
~es'• w be iasored mder Sectioos Z13. _
220, 221, Y33. 809 and 810 of tre N~tio~-
d 8oosin6 Act.
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