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STAT~. QF 1~ORT~ Cl.~OI.IIdA ~
CO'Jr'TY QF ~jIIFQRD " ~
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I H~.~. dY C~3T IFF that on Lhi s da`y pe rsonally appe ared bef ore me, aa of f icer dv~?y
auLhori~.ed to ad~nister oaths and taice acirnoxledg~ent~ Hugh D. IZorth, Jr. , '
Vice-"resident of 3et'ferson Staadard I~ife Insurance Co~qpa~~ a oorporation to me
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w~11. iaiovn to be Lhe individual and officer of said corparation described in ~
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and vho e~oecuted the foregoing satisfaction piece a~d duly aclmoxledged before
me ~at said corporation executed the same for the purposes therein expresaed ~
as the act aad deed oi said carporatio~. ~
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I3: i~ZTI~,S3 ~sr~F I have hereunto set n~r hsnd and affi~d n~y ofticisl seal ~
at ,Cirse~a~,gboro, said County aa~d State, t,his llth d~y of ~
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- u LtG - - NoLary Public
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~ t " ~ . ~ ~ C~mi~cion 6cPvac dtaY 31, 1975
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fIZEO ANO itECQR~ ~
tt. LuCIE COUMTY f~~.
t ROCf~ POiTRAS '
CLfRK CIRCUIT COYRt ~ i
1lECORD VERIFtEC i
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b0U~191 817
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