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IN FITNESS THEREOF, the said mortgagor Ma hercvnto set his hand and seal the day and year first afotC-
said.
Si ,sealed, and delivered ' e sence of-
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,,,`1 Q [SEAL~1
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[SEA L_,!
[~SEAL~?
_ [SEAL]
STATE OF FLORIDA
COUNTY OF ss:
Before me pesonally appeared and ,
his wife, to me well known and known to me to be the individuals described in and who executed the foregoing
instrument, and acknowledged before me that they executed the same fa the purposes therein expressed.
WITNESS my hand and official seal this _ day of . 19
Yotarv Public in and for the county and Store a/oresaid
1#y commission expires
STATE OF 1~1i Yat1C ss:
COUNTY OF ~i~!'t-it-+~`~-
Befor4 me personally appeared ~~ J• RR33l~ titre ~3~°~' . [O me well known and known to me to
be the individual described in and who executed the foregoing instrument, and acknowledged before me tha6he
executed tl-e same' for the purposes therein expressed.
w1TNESS my hand and official seal this ~- ~/ '~~ day of .h11y , 1969
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Notary Publ in and joy the county and Statt a oresaid
MAR.IORIE Y.
IMy commission expiresNOTARY t'ttBLIC,StNiNM•ri:~~~~r
t;omrataletr lelyitrs 14.a~`d0. ~+~,.
f:11~Ep AND RECORDED
ST. t_tjC1E COUNTY. ~~A.
c::-CO~~ VFRtFlED
'69 P!'~' S 4~0.3~
181
Kf)stER i'tf#TRaS
CL~Rit CIReUtT COURT
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Tbis [orm roar be used as the security
instrument io connection with mortgages
to be insured order Sections 203 and 222,
and in connection with "individoal mort-
gages" to be insured render Sections 213,
220.221, 233. 809 and 810 of the Nation-
al Noosing Act.
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