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IN ~?ITNESS pHEREUF~ the seid mortga~~c hes heceunto set his hand sod seal the day end year first afae-
seid. . t•
' ned. sealed. and delivered in the presence oE- •
SEAL]
eymour 3. Werner
~ [SEAL]
Joan A. Werner
[SEAL]
[SEAL]
. .
STATE. 4F FLORWA~ ; ss:
COtTNTY OF ~~T+ LUCIR
.,,,,:y~:~~,~. .
-~e(Qre p~e pe;s fittlt~' 'sppeared Seymour 3. Nerner and Joan A. Werner .
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hia,l~ifp;'ta me a~trioaN~ and knavn to a~e to be the individuals described in and aho executed the foregoing
: inrtrur~ie~it; aad leQged before me that they executed the same fec the purposes therein expres~ed.
_~'~SS ofEicial seal this 231'd day of December , i9 69.
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N t ublie in and jry~ tl~e ~tr and ~tate,~r/oresaid
' noitql t, 56ite o Fiorka ct La:ge
My commission expires ~ ~~w;,,5„ ~ ~
STATE OF ss:
COUNTY OF
Before me personally appeared . to me well knawn and kaown to me to
be the individual described in and who executed the foregoing instrument, aad ackno~vledged befo~e me that he
e:ecuted the same foc the pnrposes therein expressed.
~ITNESS my ha~ and official seal this day of , 19
Notary Public in and for tlae court~y and S~ate aforesaid
My commission ezpices
FILEO A~~D RFCORDEO
~t. LUCIE COUtiTY~ FLA,
t??..^,{!^~ r!c?t~s~~,
~88~90
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CLERi( C{RCUIT rOURT
'I~is form mq be oaed as t6e secority
inatroment in oonnection ~rit6 mort6a6es -
to be inaured onder Sections Z03 and 222,
aed in coanection wit6 "individoal mort-
6~6~a" to be inaored ander Sectioaa 213,
220. 221, Z33. 809 and 810 of t6e Natios-
al Hoosina Act.
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