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' IN THE COUNTY ,IUDGE'S COURT IN AND FOR VOIUSIA COUNTY. RORIDA ~
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IN RE: E3TATE OF '
(Strike inapplicabl~ tesea) ~p~j~ R~, FII.S NO.
~.20 ~ 7'47
CYRI~C L. DERY ~ .
(1)
OATH OF PERSONAL REPRBSENTATIVL AND DT~.SI(3NATION ~
OF RESIDENT AGLNT AND ACC~PTANCS OF SUCH U&SIGNATION
Before me, the undersigned authority, on thi~ day pereonally appeared
GRA~IEUSS 8. I,$B$I. to me knowa, w?ho, being by me firnt duly aworn, ssys:
1. That ~he ia the person who has bcen appointed (2) $Ye~~~ '
of the estate -~p of L_ nBStY {~e a~ede*±t
(Strike inapplicable term)
2. That E~he will faithfully adminiater the eetate of eaid (1) CYRIAC L. DERY
3. That his place of residenoe is Ormond Beach,' Florida ~ ~ ber p~t ~
addresa ie 1252 Riverbreeze Boulevard, Ozmond Beach, Florida. ~
4. That ~e hereby designates FR~D M. CONWAY a resident of Volusia '
County, Florida, whoae residenoe ia Oxmond Beach, Florida ~ Whoee post a~oe ,
addrese is p•O.Box 1855, Ormond Beach, Florida , as ber agent or ,
attomey for eenrice of proces~ in any suit or action against ~ in he1' representative capacity, or ~ ,
personally, if euch action aacrued in the adminiatration of such eatate.
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f Swotii,-to;anc~.aubscribed before me this
f ~ ' • ~ • ~ '
~ :3~9t1i•~y•of~' Januar A. D., 19~.
f. _ ~ '7
: fILED BEfORE THE COURT ~
~ , ` ~ _ _ HOLLY HILL. FLORIDA
;Nofsry. Pub~ic;~State of
, • JA~l2 196. .
My ' Commission espiree: NOTAB~ ~tl6ltQ lT~TE ee a ORtOA AT LA~~!
M!+~sstnN Fx~~~FS ~~N:. 27, t971 rm,uoae
.nxnro 1HRCl~QM ?~ro W_ Of[lTCLMOI~~T
(Notarisl Seal) vowsu covuTr. ~~o~
ACCEPTANCE BY DE3IGNATED RESIDTNT AGENT
I hereby certify that I am a permanent reaident of Volusia County~ Florida, reaiding at t
~ 893 N. Halifax Drive, Ormond Beach, Florida
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~ I heseby aocept the foregoing designation ae t+esident agenk
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~ Dated at Ormond Beach glorida, on this?~tb day of Januarv ~ A. D. 191i2.
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Reaident Agent
(i) Decedent, Incompetent, or Minor(s), ae the ceee may be.
(2) Ezecutor, /~dminietrator, Gurator, or Guardian, as tbe case may be.
~I'A7'E `~O~'., FLORIDA )
~ COt,TNTY, ~F,VOLU3IA ) ,
~ Be it'~ie.inpnbered that on thia 30th ~y of Jsnuarv , p, D. 19
69
, I duly t+ecorded
~ ; the foregoing in the public t+ecorde of eaid County.
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