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ROCER P
C~ERK CIA~UIT COURT
RECOR~ YEP,~f~EO~.~.....
DEC t~l I v~ PH'Z3 ~
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This instrumeat Was prepared by:
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(O//ice Addr~ss)
STATE OF FLORIDA ) .
) SS.: ACSNOWLIDGMENT
COUNTY Or .~t,_Lacig,.__,. ~
I HEREBY CERTIFY that on this day, before me, an officer duly authocized in the State and County aforesaid to
take acknowledgments, personally appeared ~illy ::L:l iY'°~s ~ P.~.~~~...~:1~~.~X::S~S
. to me known to be the person described ia and who executed the inst~eqt-ap~earing on
the revecse side hereof, and .~IJIwJ[ acknoaledged belore me that he Y.......... exee~lX+ordthe.~~iifie.
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WITNESS my hand aad official seal in the Couaty and State last aforesaid this ~.,..7 : d~y of
......O~Lober ~ A. D., 19 ..~.3...... . : .a~7 . :
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Notary P~iC;;" 5~~• ~ ,~'~x
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