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IN •ITNESS iHEK~O~'. tbe s~~d ~art`a~ot Irs b~ew~to sN hu h~nd •~d aNl tM d~y sad ye~~ t~~st atcrt-
sa~d. : .
. se~kd. ~nd delivt~ed~ stnc~ ot- i 1' c1C= ~ t~
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STATE OF FLORtDA
ss:
COUNTY OF 9T. IACIE
8ef~ te ~aaally app~wred ~Sevelt Moss and 8etty ~nn lbsa
his wif4,,, ' knawa and knawa to me to be the iadividuals desccibed in aed who execnted the faegoiag
instru~ele~ ladged before me that they exec~ted the same fa the pucposes therein es
~official seal this ~8th y cf . 19 71~
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,,~-s, s~ Notary Pu ic ie and (or tJke cow~ty and Stote a~oresaid
, •
tti~+~ 6ty commission espires ~~~-on Expkes Sept. 1. ~
. ~''~~~~n.u~~"
STATE OF ` ss:
COUNTY OF
Before me pecsonally appeaced , to me aell knowa and _ knoarn to me to
be the individual described in aad who executed the foregoiag iastrua~eat. and aclcnaavledged befoce me that he
eaecuted the seme fa the purposes therein expcessed.
RITNESS my hen8 a~1d otficial's~T this~ ' - day oE ~ . 19
~ . . . . . . ,
Notary Pu61ic in and (or tke county and State a~oresaid
Yy commission expires
f11E0 AND R Cp~pC
=i. ROCE
CPO~IIA= ~
~ CLERK CiRCUiT ~ ~
i IIECORO vERIf1E6
~ FEe 1 12 oe PH'
E 20~4 ~
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~ 7'liis (orm may be used ,s the secarity
~ instrument ia connection wit6 mortaages _
w be inaured mder Sectioos 203 aad 222.
~ and i~ connaction rrit6 "indiyi~al mort- - . _ ' • . . - .
6ases" to be inaored under Sectioas 213; _
220. 221, 233. 809 and 810-oE t6e ~iatioo- - - • - . . r ~ • • . .
al 8ooain~ Act. - ~
• a a ao~v~urnrc r~nrcnio osncs :~ws o- swan
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