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STATE OF FLORIDA ~
COUNTY OF7~3@[l~
BROWARD
Bef~e me paso~,ally appe~d _ Robe?'t__W~--M9~!er_ and_ Dolores_A. _
Mo
r~er~--his_w~fe---
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to ,tpe :~~~d,1~o~wn m me to be the individual fl described in snd wLo e~ecuted the foregoiag instrument, and ac]mowl.
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edg~.~odr,~ta i~iat•~:.1~e}f: execnted the same for the purposes therein cxpressed.
,s~~ ~~1~ ~m',1~qpd and official seal this ~ 22nd day of Nqvember_-----.-_ . . - . 19_71 .
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+s~.i- F;:~••~• Notary publipi'~n and for the County aad State foresaid.
. . ~ _ • tla. rnmrn:ciftln s~Y!!llPC•
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n,oT~mr n,suc s~~rE oF ~oRia ~T u~
ti 1:~1TE UF FLORIDA ) ~ M1? 00~1AMtS810N EXrIRES JULY 16. 19T3
c:0U1T] OF :~iARTIV ) ~NSt?RANCE uNOERtirRtTERS„ 1t~
Before me personally appeared.- - . ~ _ - _
and - - to me well Imown and
kno~~~n to me to be the . . _ - - - President and-------_--- - SecxetarY resPect~ve]Y °f
- - - - the corporation named in the foregou~g inst:u-
ment, and kno~vn m me to be the persans who as sudt offic~s oE ssid co:peratia~, eaecated the same; and th~m and there the said
- - - - -_and the said----- ~
~lid ackr,owiedge before me ihat said iYU~rument is tbe free act sad mortgagc of said rnrporation by them respectively esecuted
as such officers for the purposes the:ein eapressed; that the seal thereto attached is the corporate seal by them in like capacity
affixed; all under the auth~rity in them du}y vested by the Board of Directors of said corporation.
«'1T\ESS m~• hlnd und official seal this clay of 19------•
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; SF.AL) Notu~- Yubi~c in and for thc County and State Aforesaid.
~ My rnmmissio+n ezpires:
ft~EO ~w~ Su~~ tLA.
' LNCIE ~
ROCfR P4tiT~AS
~~EAx ERiF1E0 C~RT
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r Reoeived;---_~2~QQ- in PaYmeut of tues due on
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~ S- 24!--~~ Fla. Revenue Stamps Class 'C" Intan~le Peraon~l ~ piusvant to
t Cancelled on Original Note. C:hapter 2071A, I.sws of F~orida, Ads o 1841.
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