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IN ~'1TNESS ~f1EREOF, the seid mo~tge~oc~has he~y'1p }~et his hand and seal the day and year ti~st afure-
said. ~ '
' ned, sealed, and delivered in presence of- ~
~SEAL]
Jac~jc Grier ,
• % [SEAL]
Jewel Grier '
[SEALJ S
i
_ [SEAL]
STATE OF FLORIDA
ss:
COUNTY OF ST ~ I,UCIE
~foce~~ns.~e:sonolty appeared Jack Grier and Jewel Grier
his~'~~.,~~ ~o.mmA s)~ known and known to me to be the individusls described in and w}~o executed the focegoiiig
, ~G ::~.i...,
in _~q~ ~rledged before me that they executed the same fa the purposes thecein express
~~nd official seal this 15~ day.of 19 71.
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- i t ~a ~ 's
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~Yotary Public in and ~or ~be count~• and totr ajoresaid
~ .
~/1 T.' . ftoNry Pub6e, 5l~te o1 tlot~da at (,rQe
•~''~~~•~~~~~u~~~~`~~, My commissio~ expires t!y Com~r: ~s EY; .c,< 1.
STATE OF ss:
COUNTY OF
Before me personally appeared . to me well known end known to me to
be the individual described in and who executed jhe foregoing instrument, and acknowledged befae me that he
executed the same foc the purposes therein expressed.
~'ITNESS my hand and oEficial seal this day of , 19
Notarv Public in and for the county und State u foresaid
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My commission expires ;
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~ fI~EO ANO RECp~
? =T. ROCERCPO
TRAf ~
' ' CLEII[ CIRGWT CO1NK Qr~ i
RECORO VERIFIEe...~~~.
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~ This (orm may be used as the securitv
instromeat in connection wi~h mortgages
~ to be insured nnder Sectioas 203 and 222, _
and in couoection with "indi~•idual mort-
~ Rages" to be iosured und~r 4ctions 213.
~ 220, 221. 233. 809 and SIO ot tbe Na~ion- .
~ al HouRinR Act.
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