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IN ~ITNESS ~HEREOF, the seid matgegor has hereunto set his hand and seal the dey and year first afae-
said. ~ • '
Signed. sealed, and deliveced in the presence of- , $
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SEAL]
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[SEAL]
[SEAL]
STATE OF FLORIDA ss: ~
COUNTY OF St . Luc ie
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aefore ~te~e:sonally appearea Paul W. Wetsoa and Mae Wataon . ~
his w~'p,~tA„qja ~bll lmaavn and kaown to me to be the individuals described in and who executed the foregoing ~
inst~tiumY~hi, ~~`~oji~~r~vledged before ~ne that they eaecuted the same fa the purposes therein expressed.
r~~C~~4l7~~?,it'and official seal this lbth. aaY ~ Jeti , 19 68
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~ f: \ Notary Public in and jor tlae eoruity and State a~oresaid
t) U''\" _ NOtary Pub1iC, State of tl~ri~a. ~
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;;;;1 j•~•:.:'~;~.~•~..`'`` My commission expires Mgp~~~ py ~~~e~ Insurance9Co.
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STATE OF ss: }
COUNTY OF
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Before me persoaally appeared , to me well knawn and known to me to i
be the individual described in and who executed the foregoing instrument, and acknowledged befoce me that he
executed the same for the pucposes therein expressed.
~ITNESS my hand snd official seal this dey of , 19
~ FZECOR~E~ Notary Public in and ~or the countr and State a foresaid
FILED AN OVh?Y. RLA•
5-(, LUC~E C~,~ ~~~~~D My co~missioa expires
j~`~~co~~ 163601-
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~ ~~GRK CIRCWT C
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~ 'Ibis form mh+ be nsed aa t6e aeceitr '
~ inatrament in connection with mortgages ~
c w be inswed under Sections 203 and 222, ~
~ and in connection with "individaal mort- ~
y 6ages" to be insnred nnder Sections 213. .
~ 220, 221. 233, 809 and 810 ot c6e Nacion-
3 al Honsia6 Act. .
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