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5TATE OF FLORIDA r
C.'OUNTY OF ~ j
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Befora.a~,:~u Y gPP~ared . HelenR..--Cs.rpenter,--an unremar.ried~uido~c,-.-------------.._..-
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tu me wel~~mows.at+,~nown to me to be the indi~zdual described in and who euecuted the foregoing instrument, aad aclau~wl-
edged:~b~e u~e .8~e___ executed the same for the purposes thercin expressed.
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: V{ElTN~S~~'7tand and official seal this - day of. _NQY~IYIt?gT. - 18_~1.. t
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( SEAL) • ~ Tg ~ Notary Pu ' in and for ~e County and tate Aforesaid.
11~~ commission expires:
NOTARY lUBIIC S1A7E OF FLORIDA AT LAI~
51'ATE OF FLORIDA ) MY CpNN1~IpN EXMRES JULII 16. 1975
c:OU\T'Y OF MARTIN j oENERAL INSURANCE UNDfrt~YRITERS. INC.
Before me personally appeared------ - - -
and - - _ to me well lanown and
ki;o~~~n to me to be the - - - - President and.-__-------- ~~Y °f
- - - the cor~wration named in the foregoing irutru-
ment, :uid kno~vn to me to be the persons who as such officeis of said oorporatiun, euecuted the same; and tben and there the said
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~Iid ac~mowledge before me that said instrument is the free act and mortgagQ of said corporation by them re.4pec~tively e:ecuted
ss such officers for the purposes therein expressed; that the seal thereto attached is the corporate seal by them in like capacity
:ffixed; all under the authoritv in them duly vested by the Board of Directors of said cocporation.
«'1T\FSS mv h.1nd and official seal this - day of-- - 19------•
SEAL~ Notary- Public in and for t6e County and State Aforesaid.
~ My commi.uion e~pires:
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~ Received 32~._ 94-- in paymeat of tazes due on
~ 3... .24. QQ.-- F7a. Revenue Scamps Clau 'C" Intangibk Personal Property ptu~suant m
' Cancelled on Original Note. C:hapter 20724, Laws of Florida, Acts of 1941.
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