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STATE OF FLORIDA ) ;
COUNTY OF ST. LUCIE )SS'
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A F F I D A V I T ~
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Comes the undersigned, AUDINE T. ALBERT, Who after being first duly !
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~'sWOrn by me, the undersign~d officer authorized to take acknovledgments and
i administer oaths in the County of St. Lucie, State of Florida, sa~ys: ~
~ 1. That the affiant is presently employed by Doctor L. L. Whiddon '
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as office nurse and as such employee is familiar with the records pertaining :
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'~to the patients and that in the said records, one C. C. I~LLEY is listed {
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;ias a patient and that the affiant Well knew C. C. I~LLEY who according i
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to the records, died on June 11, 1955, survived by EVA I~I,LEY, 604 South , ;
~~Fourth Street, Ft. Pierce, Florida,.his surviving spouse. ~ '
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; 2. That the afPiant kno~rs of her own knowledge and her knowledge i .
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; is borne out. by records abovesaid, that said C. C. K~'r•T.~t is one and the same j ~
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:person as vas known as CLINIE C. I~LLEY and as CALVIN C. I~LLEY and that ~
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''the said references as appear on the death certificate and on various ~
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;:instruments of title with EVA KELLEY, are one and the same person, that CLINIE ~
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;~C. KELLEY afkfa CALVIN C. KELLEY, vho died June 11, 1955, left his surviving ~
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spouse, EVA I~LLLEY, per death certificate attached. '
. 3. Affiant sayeth Purther not. ;
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~ 1.~%'~ _ ~ ~-;~f r-1~?`" ;
~ Audine T. A1 er~
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~ :~S~rorn to and subscribed before me this~day of June, A.D., 1972, at Fort ~
g ':.Pierce, St .Lucie ounty, Florida.
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! Notary Public, St te of Florida at Large ; ~
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~ I~y Commission brpires ,5 ~ 9 ~ ;
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~ This instrument was prepared by:
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~ Charles Wm. Stone, Esq. ;
328 S. Second Street ;
~ Fort Pierce, Florida
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_ . 600K : ~
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