HomeMy WebLinkAbout0156 : ~~c~ . .
IN w1TNESS wHEREOF, tb~ sajd sat`ae has h~~~set his haad ~ad seal the day ~ad year fitst ~fae-
aaid.
Si , sealed, aad delivered ia the pceseace oE-
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~ ~ ~ ? O~ [SEAL]
~ i~~h ~lbert
[s~?L]
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STATTi OF ~Il
COUNTY OF ~ sa: _
Befae me pes appeared te~th D. 41b~~ aud Jwel H~ llb~rt
.~~`~~~l~ ![~,,to me well knawn aad kaowa to ~e to be the individuals described in aad w1~o ~ecnted tLe fae~oin~
d ' ~ckaowkd ed bafoce me tlwt they e:ecat tbe same fa the purposes tLereta e:pmssed.
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ny b~nd and official seal tbis ~ day d l?pril . 69
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P V. J~~ ~ No~arr Pu61ic in and ~or tlke cowity aad State ajoresaid
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~ - Yy commixsioa expires ~
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STATE OF ss:
COUNTY OF
Before me persoaally appeared , to me ~vell kaawn pad known to me to
be tbe iodividual descrlbed 'w and who e:ecuted tl~e faegoing instrameat, and acknawledged befoce me that he
e:ecated the same fa t6e pucpases thereia eacpcessed.
wtTrIESS my lwod and o~icial seal this day af . 19
p REC~RDED Notary Pnblic in and for tlae co~ty and State o joresoid
FIl.EO ,E COU~jtY~~<~'.
ST• ~+?n V~R';-- Yy commission espires
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'69 AP~ 2~ p~l g :
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I • ~rC {~/~u, COURT
i ;CI.ERK C1~.~.
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7'6is torm ~q be ased as tha sec~iq
issuoa~eat i~ aonectioa ~rith aan6ase~
to be iasrred udet Sectioes 203 ~td YR4,
nd i~ coaaectio~ r+itr "i~dividoal ~o~t-
~es•• to be ias~ed aader Sectioas =13,
420. 221. 433. 809 aa~ 8l0 of tYe Natios-
d Houios Act.
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