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268Q98 '
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THIS is to certify that Helen Gollnick, formerly
of Fort Pierce, is well known to the undersigned,
and that to my certain knowledge the said Helen
Gollnick is, and has been, a single individual
from the date of her divorce from Theodore E. ~
Gollnick in September of 1959 up to the present ~
t~me. ~
Signed this llth day of October, 1973.
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WITNFSSED:
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Constance Wh~te
Rt. 2, Box 9000 ~
~ ' , Ft. Pierce, Fla. 33450
E STATE OF FLORIDA FILED A!~~..~ P,ECOR~EO ~
ST. IUCtF COUNTY FIA. ~
~ COUNTY OF St. Lucie ROCEi: FGtrRAS 1
~ _ R CIERK=`~~:iliT COURT
~ Before me personally appeared Constance YJhite to ~~'~F? v. D~..
~ me well known and known to me to be the person N0~ ~ ~ 4~ AI~~13
~ described in and who executed the foregoing in-
~ strument, and acknowledged to and before me that .
~ she executed said instrument for the purposes ~
therein expressed. ~bs~~8 £
Y~ITNESS my hand and official seal, this llth day ~
~~„~,,,,:,,:,of.'October, A. D. 1973. ~
~ / • • ^ W ~f~•~~ •t
~ ; ; _ Notary Public, State o:
~ 1~ Y- ~~I,: Florida at Large
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~ ~ r= U~L \t~:C~aiss-on expires July 1~), 1977 ;
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~ RO.~t il: HODGF., T•.S!JL ~RT_- ~
~ 6RANAM, CARROLL, NODGE & SW~1N, P•A•
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3081 E. Commerciai Bh~d.
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~0~~ ~ Ft. Lauderdale, Fla. 303308 ;
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Phone: 171-419 ;
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