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~ ACKNOYIEDGMENTS ~
FOR USE IN ALL STATES EXCEfT s0!lT11 CAROLINA
INDIYIDUAL FORM - '
STATE OF
COUNTY OF
, hereby certlty t1+a~ on tAts day p~tors nN #
an afficer duly autt?o ri=ed in the state and county storesaid to taks acknowledgwents, psrsonally ~
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appeared ,!o a~e kn~+~rn to pe the person desertpea in and
.Aw ex~cuted tAe toregoing Inatrwnent and acknowledged be*ore n~e ths dus executlon an0 dellvary ~
thsr~ot tor the purooss thereln stated.
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IN IrITNESS WHEREOF. I fiave hereunto sst ~y Aand and otficlai se~l, thls tAe ~
day ot . 19 Y
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" DOCUMENTARY = Notary Puet Ic lor other trtie~ ~
~ FLORI A SUR ~A~ ~ ~ ~
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~+,n•73 ~ 0 ~ i. 6 5 _
m N• ~ p~ ~ ~ My Coar~i sslon Expl ?ss: ~
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CORPORATION FORM
FLORIDA r'
STATE OF `
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touNTr o~ ST. LUCIE !
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, hereDy c~rtity that on this day O~tore w~ ~r
~ an otticer duly autho zed to tske acknowledgn~ents, personally nppeared A. ROGER STOTZ M!
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to me known an0 known to be the Dsrson descrlbed In and wAo executed tbe toregoing
4 Vice President & _ `
~ Instru~ent as Tri~s Offi c_?' ot St. Lucie COAT1tY ~dI1~C , a corporatfon, ana •
~ ecknowled~~d to=n~s tAat he ex~cutsd and de111rere0 sucK irtstrument as suth ottic~r In ths na~e ana on ~S
behelt ot sald corporation, bsin9 duly authorizsA so to do. +
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~ IN M11TNE5S MIHEREOF, 1 Aavs hereunto set my hend and otflclal aeal, this the ~
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~ aay of June , 19 73 - ' , ~
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Notary P Itc lortot~er tf~lil~ W~_
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_ ~ prj~d~5'~E ot F[OAIOA ~t LARGE ~
~--•~aC.~~~ ~)(PIRES MFC. 13. 1976
R ~~V FACf~~l~ Co~Isston Eft~{i~:• `
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