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MINNESOTA
STATE OF PI,~J~jg/~/
COUNTY OF/~OIV6~Y{/
HENNEPIN
I HEREBY CERTIFY that on this day before me, an officer duly qualified to take acknowledgments, personaliy
appeared GERALD P. OFFERMAN and FRANCES M. OFFERMAN, his wife,
to me know~ to be the person__S described in and who executed the foregoing instrument and acknowl-
edged before me that t he executed the same.
- Wl~JVESS. my hand and official seal in the County a~d State last aforesaid this~'_~b~ day of November _
; A: O;' 19:~~.~ -
~
` . . -
(SEAd.) . ~ - ` , Notary Public, JS
: _ ' - ' - ?My commission expires: `
- 3e _ 76 ~
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STATE 6F FlORIDA
~ u
COUNTY OF PAIM BEACH
~ 1 HEREBY CERTIFY that on this day before me, an officer duly qualified to take acknowledgments, personally
~ aPpeared and to me known as the President and
S •
= Secretary respectively of •
s
~ a re~~ransaf:~-~ .an.~nr f4~a ~a...e ~1v. C~~•o .
~
~ INTANGIBLE PERSONAL ~ROPERTY RECEIPT N~ 311; 9 3 0
~ :
~ TO BE ISSUED BY THE CIERK OF THE CIRCUIT COURT OR COUNTY COMPTROLLER IN THE P/~YMENT OF TAX ON
~ MORTGAGE, DEED OF TRUST OR OTHER LIENS UPON REAL PROPERTY BEARING DATE SUBSEQUENT TO DECEMBER, 31, 1941.
~ ~ ~ 197~ `
STATE OF FLORIDA, COUNTY OF - - _ ,y~ ,
Obli9~-_ - ---~G'i~Y171 L~G~"_'Pil~ O~._sec~ ~
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~ ~ ~ TH15 FORM BECOMES A RECEIPT ONLY
~ iY ~ WMEN VAl10ATED BY RECEIPTIHG
~ ~ S~~-~ ~O~ - MACMINE OR SIGNED BY THE CLERK, s~ -
GONSIDERATION COMPTROLLER OR AUTHORIZED DEPUTY. AMOUNT PAID
S ~
~ TAX MUST 9E PAID TO ENTITLE ABOVE
~ DESCRIBED INSTRUMENT TO RECORD.
SEE F.S. CHAPTER 199.
;c~ - - G
_ , CLERK. COUNTY COMPTRO L R OR AUTHORI2ED DEPUTY
PAYMENT RECEIVE CERTIFIED ABOYE j
DR•610-8
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