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~"TATE OF FLORIDA ~
c:oU\TY OF ~t~~ ~ u~ `
Mar in ~
Before me personally appe~~ed Jaaqu~n 1V~artinez_ and__Eva _Martinez,._ his_ wife
t~~ me K•ell kno~~•n and known to me to be the individual $ describc~cl in and who executed the foregoing instrument, and acknowl-
~~clgecl before me that t h~._ executeci t1~e s~~me Eor~e~urpu~es U~ert°iii r~?j~res~e~i'.
1t'IT\ESS m~~ hand and ofExia) scal this ' day of Noxer~ber , lg _?l, ~
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i SE:1L1 ~ - Nota Public in and fo~ the Counh? an~ ~?t8 Aforesajc~~. _
\t~• ct,mmission expires: ' " -
NOTAltY /(i~l la iTATC 01~ ff AR{D, A~ t.A~'~
MY Cnti1`.1r3s10N EftrlRl~ AUQ. ~ j
~ fA'1'1: UH' FLOR1DA ~ GE~IERAL INSURANCE UNDERWR~ F
c:(~~\TT OF ~tARTIV ~ ss. ~ 9' ~q7~ : .
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Before ms personally appe:~recl _ - _ - -
and - _ - - - - _ . . _ _ . _ - to me well irnown and
l.no~.~~ to me to be the President and_-_____._ ary respecti y
- - . . . - - Secret v o
- - - - - - _ _ , the cor~ration named in the foregoing instru-
mcnt, and kno~vn to me to be the persons ~sho as such officers of said corpc~ration, executed the same; and theu and there the said
- _ _ . ---------------and the said_ - - -
~lid acl.z~oW~ledge before me that said 'uutrument is the free act and mortgage of said corporation by them r~s~.~tively ezecuted
,is such officers for the puriwscs thcrein expressed; that the seal thereto attached is the corporate seal by them in like capacity
.~ffi~ecl; all under the authorit~• in them duly vesied by the Board oE Directors of said corporation. }
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~ ~~`ITiF.~S ~n~• hand :ind offici~l seal this _ day of _ _ - 19------_. ;
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; SEAL) Notary- Public in and for the County and State Aforesaid.
Ny commission expires:
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C~ESK c~aCU~t aou~t
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3 Received ~Q._OQ. in payment of taaes due on
' S 1~. Q0 _ Fla. Aevenue Stamps Class "C" Intangible Personal ~ pursuant to
~ Cancellecl on Original Note. Chapter 20724, Laws of Florida, Acts o 1941.
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~ - - - - Ta: Coll~ctor 11At?tin Co~nty. Fbzid~
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- ~ Boo~: l97 PA~ 1298
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