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STATE OF ~k~9A
COUNTY OF/@~AtL/O1/~.`!~/
PALO ALTO
1 HEREBY CERTIFY that on this day before me, an officer duly qualified to take ack~owledgments, personally
appeared A. GLARENCE ANDERSEN and DOROTHY I. ANDERSEN, his wife,
to ~.krrbwn to be the person.~S destribed in and wF~o executed the foregoing instrument and ~_th...~ acknowl- ;
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edgid~ before me that ___~t heY executed the same. ~
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~ WITNESeS; my hand and official sea) in the Counry and State last aforesaid this~~L day of 4~~~__~_, ~
A~ O. 19~~ ~ ~
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(SE~~~ , ' Notary Public, ~felt~f-Fb~ida~f-~irg~-
. - _ . ` "My commission expires: s~1'rT-~, 1~7s
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STATE OF FLORIDA
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COUNTY OF PALM 9EACH ~
; I HEREBY CERTIFY that on this day before me, an officer duly qualified to take acknowledgments, personally
; aPpeared --__-~-----~r--------------W and to me know~ as the President and
; Secretary respedively of
' a corporation under the laws of the State of-----------------------------------------------------------------------------------------------------_~~____,
~ and acknowledged that they executed the foregoing instrument for and on behalf of the said corporation, as and for its
~ act and deed for the uses and purposes therein expressed, and the said further ao-
~ knowledged that he affixed the seal of the said corporation to said instrument; that the seal thereto affixed is, in fad,
~ ;he seal of the said corporation, and that the seal was affixed pursuant to due and legal corporate authority.
~ WITNESS my hand and official seal this day of A. D. 19__~__.
~
~ (SEAC) Notary Public, State of Florida at large
My commission expires:
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~ •••v.. . w w~, v~ . nw ~ vn v i~~~.n L~ur.~ urviv ntnl I'KVI'[K 1 T DtAK11V~t UA I t~Ut3JC~jUtN 1 1 U UtC.tM13ER~ 31, 194 i.
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~ STATE OF FLORIDA, COUNTY OF _
~ - - ~~G~ - - - / - - 197,~
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~ C/G~ L' V~ _ THIS FORM BECOMES A RECEIPT O1VLY ~ / 6
~ WHEN VALIDATED BY RECEIPTING ~
O s MACHINE OR SIGNED B:- THE CIERK, s-__~:ZS~_----- ~
_ CONSIDERATtON COMPTROLLER OR AUTHOh .•ED DEPUTY. AMOUNT PAID /
TAX MUST BE PAID TO ENTITIE ABOVE ~
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DESCRIBED INSTRUMENT TO RECORD.
4F SEE F.3. CHAPTER /99.
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~ CLERK. COUNTr COMPTROLL OR AUTMORIZED DEPUTY ~
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