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STATE OF FLORIDA, ~
COIINTY OF SAINT LUCIE.
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AFF~DAVIT
Before me, the undersigned authority aut: rized to ad-
¦iniater oaths and take acknowledgement personally appeared
HAZEL HILL, who being first duly sworn deposes and says that
he is the husband of GEORGIA A.irr~ HILL, and the ~aid GEOftGIA
ANNA HILL, died in Fort Pierce, Florida, on April 28, 1967,
and that he is now a widower.
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f~~'~~' G`,~~-~C
Si~TOftN~O AND SIIBSCRIBED before me,
this ~ n ay of December, 1968.
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l:• Notary Pubiic. Sfbte oi Fterida at Large
_ ~ My Cc-*+^.'--~i~~n Expires Feb. 6, 1972
' . ~ E - .;~.~samerica Insurance Co.
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FILED AND REC Y
ST, LUCIE COUNT~~,
E?~~4RI~ :~ERIF~ED
1'~~'?'9$
~68 o€e PM ~ : i 7
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CLER CIRCUIT COURT
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