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STATB OF FLORIDA)
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COUNTY OF DADB )
BBFORS M8 this day personally appeared
WILLIAN J. GOLDWORN, vho, being firet duly awora,
depoaea aad says:
1. That he has eaasined the records and
hai deter~ined that at the time of her huaband's
death on January 29, 1959, GERTRODS SMITB en~oyed
the atste of matrimony vith AUGUST SHITH.
2. That he has applied to the State of
Nev York for a death certificate of AIIGDST SHITA and
upon receipt of same he vill forWard it to the
purchasers, SAMOEL J. WISRNBR and'SHIRLBY WISHNBR,
his vife.
FURTHBR AFFIANT SAYETR NOT.
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W ~IAM OLDWORN
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E Sworn to and subscribed before se this
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day of - , 1969. _ ~ ".J,;
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N RY PUBLIC, S tate of Florida at Large
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Ny cossission expires: ~ ,~I~y . ~
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