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ACKNOWLEDGMENT-Huebend and ~Vite
titate of Elorida
County of ~ _ - - ~ _ _
I Hereby Certity That on this day before me, an o$'icer duly authorized in the State aforesaid and in tfie County afore-
taid to take acknowled nts, personall~ appeareci ~ ~ ~ ~ ~ ` ~ ~ Y and
- J V W t~ ~'~A ~~i f•
L~~ , his wiEe, to me known to be the persons described in and
h~~ executecl the foregoing instrument, and severally aclcno~~ledged be~ore me that they executed the same.
!'1- - ~V b. A. D. 191
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Wi~~ee my hand and offcial seal in the County and Stute last aforesaid this~-day of
~t ~fu` f lE0 ANO qECOli0E0 -
,a~y,~S ' S~. WCIE cOUNtr FIA. .
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ROCE~ POItitAS
~ CIERK CtRCU1T COURT
~ " RECORO VER~F~ED Notary lie
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~ Sfr t~ 9 s4 ~M ~3 M, ~~~on
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~C~.~, . : ~ - MltlK STATE OF '10R~A ~T .ARt3~
''•~..s%!.;.~ AW tOMMISSlON EXHRES IAN. 1, if7f
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~-~yp ACKNO~VI.EDGMENT-individnal ~NDED T}11nJ r,~ERAt 1NSURANCE ~Np~yR(~
:z,.,.. ~a iGrVa~a.~ ~ J
:tl~Slµ~ -
~tate of Florida
County of
I Hereby Certify That on this day before me, an of6cer duly authorized in the State aforesaid and in the County afore-
~~?icl to take aeknowledgments, personally appearecl
tu sne knc~wn to be the person desc:ribed in and who exeeuted the foregoing instrument and
' ~icknowledgecl before me that he ~ executeci the same.
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; Wit~ piy `~at1d and o~icial seal in the County and State last aforesaid th~c day of ~ A. D. 19
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~ , ; ~ i Notary Fablic
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~ ~ yy'=..tr:~ T ~y COIritI11SS10II P.7Cp1IeS:
~ L_ NOTE
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~ 'L -~,'iti l`~
~~.~Y,Sc v,) eo v - ~l L ,
' iStreet address of maker) (TOrvn . lState)
~ FOR VALUE RECEIVEU he unde?signed promises to pay to the oraer of _
(contract •s N~e) ~ l 1 t
~ ` c
€ t ~ • J ` oollars (i
~ v ~ obl Psyments) '
~ tne ~ce of t Payee or such place as the Payee w Holder may designate. ~
~ . a,~aole in_~~__._ma?thry instaliments. each installment in the amount ~ Dollsrs (i 6~1~
~ ~.~cDt tt+e firra+~ttstalimeet4-wMN?3ha1~-9e-__ - - - ~ ~ _ _ 1_- t _ _ :
~-.e (irst mstallment payable one month irom the date of ~on of t p r.y ~ rovement unle a diNerent first payment date is inserted
~ ~rre th la of ~ Ilments paYabte on evea date W each succeeding month thereatter
~ unt;l this note is fulry psiG.
If any payment is not made within 10 days after Gu da , maker agree to y la c rges of five cents (:.OS) per dolbr w five dollars (SS), whicAever is
;s. m addition to the regular installment. Buyer agr t paY any court t actua i urred plus attomey's tees of 20% of the amount due and payable if
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~ ~n,s note is reterred tw coilection to an attwney not a sal ried employee of halder 's note.
~ IS any instaltment on thfs note ~s hen du , t e entire amount n 1d he shall become due and payabte forthwith at tBe electioo of the holder
- • tn~~ note.
~ 7he makers and endorsers th' ote y seve Ily sive Orese t, demand, protest snd notice o( dishonw, and fwther hereby waive alt benefit
~ vatuaGO~, appnisement and : ption Wws. - -
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~ Payment of this note i su ject to the ter f a ho ement installment contract of even date betwee~ maker and psree.
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~i ?ness hand and seal
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~ . _ tMaket siQn hers)
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