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1'~0561
AFFID~IVIT REs MARITAL STATUS
STATS OF FLORIDiA )
s
ST. LUCIS~COUNTY ) .
Peraonally appeared before me, CHffiTffit B. aRIFFIN,
who, being by me firat duly sworn, deposes and says that
he is a resident of St. Lucie Cou~y, Florida, and has been
- ~ a resident of auch County for ten (10) yearst that affiant
was personally acquainted with and had knowledge of the
do~aestic relations of RALPH B. S80CK and BI~IIKA L. SHOCK, hie
wife; that the said Ralph B. Shock and ~maa L. Shock, his ~
wife, were married to each other and living toqether as
huaband and wife on December 13, 1960, and continuously
thereafter through the date of death of Ralph B: Shock on
September 6, 1967; that B~ L. S80CR was the snrvivinq
apouse of the said Ralph B. Shock, who died on September 6,
i
; 1967.
I
~ ' ~
~ Chester B. fi
~ Sw~o~n to and subscribed before me,
~hta 17th day of Septennber, 1968.
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