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AP'FIDAVIT
STATE OF FLORIDA
COUNTY OF ST. LUCIE
Before me this day personally appeared
who, being duly sworn, deposes and says that he has personal
knowledqe of the facts, to-wit:
That GEORGS W. HAZELLI$F a/k/a GEORGS WASHiNGTON HAZSLLIEF
was at all times prior to September 8, 1955, married unto SUSAN
HAZELLISF, his lawful wife, and they lived continuously as .
Husband and Wife until the death of G80RGS W. HAZELLIEF a/k/a
GEORGR WASHINGTON HAZELLIBF, who died September 30, 1955. ~
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Affiant
Sworn to and subscribed before me this day of
, 1972.
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NOTARY P C, State of Floria3 at
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' =1~~E0 AND REC~R~~
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RECORD
YERcF~EO COIIRT
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THIS INSTRUI~NT PRBpARED By:
~EERJILD S.1AS?ifS
~ttornep at LaNr
~ A. Booc 3069
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