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!N •ITNESS ~HEREOF, the s~ld matga~c~r has heeeunto set bis hond and seal the day ond year first oiae-
~old. F ' ~ i
ned, se~kd, and dellvered ' he pcesence oE- t ~
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~ ~ [SEAL] '
~ Shirley and~r ~
~SEAL~
[SEAL]
[SEAL]
STATE OF FLORIDA ~
COUNTY OF 3s: ~
8efae me pe:cunally appeared and ~
his wife~ to a~e well known aad known to me to be the individuala deactibed in and who esecuted the Eocegoing
inst~umeat. snd ackaowle~dged before aie tbat tt~ey executed t6e same fa the purposes therein expressed.
~1TNESS my hand ond o[ticial seal this doy of , 19
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- ' Notcry ~cb?ic in and ~or cl~e countr and Sta[e o~oresaid ~
E
1Ny commission expires
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STATE OF ~ • • . ~ • • ' . . ~ ' .
~OUNT-Y•OF ~ - . ffr , u., ,i~ - . - ~ _ : - , . •...t •:,.tt:... •
• . - ~--:-r ~ : . ~ _
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~ ' ~a tinqle adult ~
Before se personally wppeared SHIRIitY 11t,~11ND$R~ / ~ to me wetl known and known to me to
be the iadividu~l desccibed ia and aho executed the focegoing instrument. and acknowladged beEo~e me tLet he
executed t11D`"`"~ ' pycposes therein expressed.
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wIT ~~,iotEiciel sea! this Z~ day of ig ~1~
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No Pu ic in ana ~or tbe countr and StateQ/ resaid
U. C~'~•` ~~y f~r~,gc. State d F1o~fdi K~
pty Comm~ssM., t=, •a^ gept. 1, 1913
~ ~ . My cummission expina ~ 3
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F lEi ANO RE
=~.WCIE C011~~~
IIOCER ~1~ _
REC AO ~ER1~?
E6
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Thia torm may be used ~a t6e aecuritr '
iastrumeat ia comection +vith monaagea
to be insored osder Sectioos 203 ud•222: , ,
~nd ie coenection with "iadiridoaT i~t::~ ' • • • _ ' - ' • • ~
~wses~' to be iasated under Seetio~jtl~; ~ _ '~j -
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