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i~ ~n this dny personally appeared 6eJore me~. G~Rb~.1l~Mx..+~~.`~Ql'~F+>. A~z~~~~~~~Qr.,pe,.~~}~s
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.~~ON~1/JI..V~~"~IaMp~Ia.~V~r.WNy~Y~?+~~r.~ ..a~7_____"
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nidunl_....__. descri6ed in and who executed tl~e f
oregoing deed of conveyance, nnd acknowledged
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~ tl~at h~........executed the aame f
or the purpoae therein expressed, whereupon it is prayecl t at
f tlie same:may 6e recorded. -
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•:~11 ~,~~YIP~Ei ~i~rrruf, 1 have hereunto u(f
ixed my hand and of
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ictal seaI, th~a..J
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'aa~ 01' .~l_~.......... A. D. 19--~~-----•-- -
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A' ' 'Not ic;' a e'o ori 'a~"~arge
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t~ ~ouai~ nf--------------------------------------------------------
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F~ in aru~ (or s~d County and State, do certtjy ihat on the______________________________________________________________day of
A D. 19_______., personally appeared be`ore me,
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i~is wi(e, to me well T~nown, and lenown to me to be the individual..._._ described in and who executed
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t~e f
oregoing cleecl, and severally aclznawlec~ged that________________________executec~ tTie same f
or the pur-
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, poses t~ierein rnentionecl. and the said---•--------------------------------------------------------------------• upon a separate
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~ and private examination, mac~e separate arul apart ~rom her husbnnd, t~un artcl ihere acknowledge
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be~ore me tliat she e.recuted the said deed !or the purpose oj conveying nnd relinquislung her clower
anc~ right oj c~ower, homesteacl and separate e.state in aru~ to tlie. Iancls therein describecl, arul ajso in
~ „ to~en of haning consented to tlie alienation oj said clescribe~I Iands, and that ahe did ihe same f
reely
~ 1''~ arul voluntari~y, anc~ without any constrnint. appre~ension, f
ear or compujsion oj or f
rom her saicl
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i', husband.
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~ Gwen under my ~?nnd and o~(~cial aeal at------------•--------••-------------•--------•-----------...---------..
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County and State, on t~us------------------------•---------------~Y of-----------•---•------...---...-------------• A. D. 19-------- ~
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BOOK 2eJ11 PAGE~~1
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