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On this c~ay pe?sor~al~y appeared belore me,.. $SSIE._B. BUSH~ a widaw,
------------------------------------•------------•-----~------...................to me weU known and known to me to be tlu indi-
i?idual__._____ deacri6ed in and wl~o executed the f
oregoing deed o~ conv6yanc~e, n~d acknowledged
that .__she---.....executed the same f
or the purpoae tkerein expreasec~. w{~ereupon it ~a prayed t~wt
the snme .noy be neconded. ~
~ll ~tfllFB$ ~~prepf. 1~aoe 1~ereunto a~f
ixed my hand ant~ o~~icinl aeaj, i1ua..._..------
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dQy of y'r' ..__~ucct~ A. D. ~9z~..-----------------------
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` , ~~t I;E f
f:; . ~!~Q~-~- ~
~ida
. . . , : N ary ~te
of ~l~l
~~~~~r~•` _ (Seal) ---------------------------------------~1~._.~7Cq~.---.._...--------------
~ ~i ~ ~ ~ ~ - Cc~aisaian gxpiress~
; ~~x`" ~~t~ti pf ~lurid~.
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Fitt~•
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in and f
or said County anc~ Stnte. do certi{y thut on the---------------------------------•--------------------...__daY oj
A. D. t 9...__.... PersonaUY aPPear+ecl ~ief
ore me.
his wif
e. to nu weU known. and ~nown to me b be t~ie iru~ividual._... deacri~d in anc~ who exeaated
the /oregoing deed. and aeveraUy acknowledged that---------------------._ex~cuted tlie aame ~or the pur-
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poses therein mentionec~. n??d t~e aaid---_-------------------------•----.._---------------------..---------• upon a sepamte <
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i and prioate examinakon. made aeparate asu~ apart ~rom her huabancl. then and t~eere aclenowjedged
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4 be(ore me t~wt alu executec~ the said c~eed `or tju purpoae of oonveying and relinquiahing ~ier c~ower
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~ and right of dower. homeatead and separate estuk in anc~ to ihe janda t~er~in deacrilied. and alao in
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~ token of l~aIIing consented to t~ee a4e?sation o/ aaid describad landa, and ti~ot sfu did tl~e aam~ /reely i
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$ nncl voluntarijy. nnc~ without any conatraint, apPrelienaion. f
ear or oompujaion o' or ~rom ~tr aaid I
~ jussband. ~ ~
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~ C'r'~ven w~der my ~und ar?d ojf
icial aeal at-------------------------------------------•----------------------•-----. in aaid
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~ Cow~ty a.~d Srae~, on tl~is----------------------------•--•-------~y ol-----------_..----------------------...__.., A. D. 19--------
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_ ' ft~E011t~fl RECOROEO , '
: iT. WCiE COUNTr itA. ,
~ RQCER POtT1US I
~ CIERK C~RCWT COIIRt ~ ~ ~
RECORO YERIFIEO~
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