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23'~546
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STATE OF NEfn1 YORK ~ ;
COUNTY OF NASSAU ) SS.: ;
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SYLVIA JUAN~ being duly sworn. deposes and says=
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That THOMAS L. JUAN, died on August 12, 1971
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~ a resident of the County of 1~Iassau, State of New York.
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That your deponent is the widow of said THOMAS : '
L. JUAN, having married the said THOMAS L. JUAN on the ;'Y- day of:`
Ju ~yj~ . 19 3 7 and that she was married to the said THOMAS L. ;
JUAN ~n the date of his death and that she is his surviving spousej
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Sworn to before me, this ~ 4
day of ~._,~1.~ , 1972. -
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• - t~ WI~tIAM T~liltl~~1 ~tWiCtE Cau1lcffK~.U~.
' Motary PuDlic. State af Nerv Yo?R 1ROGEa P~ITR'4"S
. " ~ No 52 • 80a6815 ~L~Rf. Cii.CUIY ~ ~ ~
' ~ RECQRO Yf=t~~e~~.__~_l
_ Duar~~~ed ~n Suftoik County qn~ '
- ~ - Commission Expres ~tarcn ju~ • ~ ~ ~ ~9 i
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: STATE OF NEW YORK ~ N~ ~'1211
~:ounq of Suffolk ~
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I, LFSTER 31.~BER150N, aerlc of t6e Coung d Suffolk, and aLso Ckr~ d the Supteme Court for ~aid (`anq, t!u :
same bein~ a Caut of Reoo~r~l, DO HEREBY CERTIFY that j
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. Nhoee name is sutucribed to the 'tion catibcate o( the proa( ar ac-
c; • knovrkdgma~t of the anne~ced inetnuoeut aed tLei+eoo writtea was +it tbe tirae ot
~akin6 auch dePa~ition or ptoa[ or ackno~+led~nmt a NOTARY PUBLIC in and :
. • !ar auch Caiaq, dul~ commiesiooed and swan, and autha~i:ed b~ tl?e la~?s o[
aaid State ts take depoBidaa and w administer a~tbs w be wed in a~ Court
d aaid Stite and far geaeral purpaees• and aleo w tal~e acl~nowiedaments and
' ~ ~ prods a[ deeds of con~ai?ces for land, ta~emcots ae 6era~itameuts in said Sta~e
, d New York. And further that I am wd! acquainted witL tM handnritins d
such 1VOTARY PUBI.IC and arorily believe t6ac t6e ~ignad~ at aaid depasition
or certi6cate af proo( or acicnoxiad~neat is gennine.
IN TF.S7IMONY WHEREOF. I 6ave benunta set m~ baad ~ad a~ed tLe Seal
of the aid Court Comt7 d~7 of._... 19_~1~..
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