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A F F I D A V I T
2'~~3~ ~ The undersigned a.ffiant having been duly sworn. does
say and degose the following~
1. That my correct name is ALMA M. GIST, and further
that I reside in West Columbia. Lexington County, South Csrolina. ;
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2. That the affiant does acknowledge each and every -
item set forth in Appendix A attached hereto and made a part hereof
by incorporation by reference of this Affidavit.
3. That by this Affidavit the affiant acknowledges
receipt of each and every item set forth in Appendix A~ and a
Promissory Note in the principal amount of ~3~600.00 bearing 6~ -
interest per annum from BUSH POOIS & PRECAST INC. and executed by
it's President as consideratior? for full release and satisfaction
of a debt owing to the affiant by said corporation of $5,700.00.
4. That this Affidavit constitutes full release and
satisfaction of the debt set forth in paragraph ~ above. '
~ S. That the affiant does acknawl.edge. agree and covenant
' that any further remedy for monies now owing to her by arid from
j BUSH POOLS & PRECAST INC. shall be collected upon legal process
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~ provided in the herein referred to Promissory Note. -
; , 6. That said Promisst~ry Note constitutes new and va2uable
consideration in the form of income from interest, and is not a
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; re-financa.ng or reformation of any previous agreement between SUSH
° POOI,S & PRECAST INC. and the affiant for monies lent to the corpo-
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ration.
That this Affidavit rn3y be re~orded in and as a part
- and portion of the public records of any county within the State
G
; of Florida. =
~ FURTHER AFFIANT SAYETH NAUGHT. , '
L~~~~-~i.~ ~t~
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aL~~? c~s~
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? STATE OF FLORIDA ) ~
= COUNTY OF ST. LUCIE) SS. ~
L
~ I HE?REBY CERTIFY that on this day~ before me, an officer
~ duly au~hor3.a~d in the State aforesaid and in the County aforesaid -
to tak~,,,~~,~seii?3~dgs~ents. personally appeared ALMA M. GIST. to ~ne
~ kno~rii`~te~~~'-~:~~.t° person described in and who executed the foregoing
ins~um~an ~ad~s~,;~ie acknowledged before me that she executed the same.
1~.'~fit~' MY H~IND lND OFFICIAL SEAL in the County and State _
Iast; a~,fqrBSai~ ~is day of Febru ry, A.D. , 19?4. ,
F ~ • • d - ~L CO -
~ . _J ~ ~J .
_ a~ t~,.~~- Notary Public, State of Florida
_ J ~ ` ' .
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:.;;`,,c J'i . `I
; ~ , ' at Large
} _ ,',`;:::tt"'s"~•• Btt~ ~ Pl~~~~ MV Commission F.xpirPs /S /yJ~ ,
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