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j; STATE OF FLORIDA. ,
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j~ County oj L~LA~P T ~~v .
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I, an ofjicer authoriaed to take ackrtowledgmenta of deeda accordin~ to the lawa oJ the State
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i~ oj Florida, duly qualijied and acting. HEREBY CF.RT/FY that HERBERT M. SMITH
and MARGARET F. SMITH, his wife,
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to me personally knosvn, this day peraonally appeared and ackno:uledged be~ore me that t~~
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` executed the foregoing mortgage, and I FURTHER CERTIFY that 1 know the aaid peraon s
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making said acknoivledgntent to be the tindividual_ 8
described in and who executed the said ! ~
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neortgage. ~ . ~
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i; I~V Ti'IT \'ESS tii'HEREOF, 1 hereunto aet m y hand a~cd ojjicial sc•ut at ,~E.riS E.„_ ~E..4 !
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said CounCy a~ed State, this_--- - - ~~y °f i
-~a"~~~°~/ - - --_~A. D. 19Z.~~_. ~ _
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N~tory Pub6e, S~ats of ?lorid3 at 1_ ~~`-~i'f •~j--- ~
liy ~ommission expires: _ . y~~ otary~Pztbtia :
eOnc~d by Ma,;to~ 1:r~ t. f_n. x~IN . "v'~ J'
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M~ 3039'74 !
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; INTANGIBLE PERSONAL PROPERTY RECEIPT N~ 375328
" TO BE ISSUED BY THE CLERK OF THE CiRCUIT COURT OR COUNTY COMPTROLLER IN THE PAYMENT OF TAX ON
MORTGAGE, DEED OF TRUST OR OTHER LIENS UPON REAL PROPERTY BEARING DATE SUBSEQUENT TO DECEMBER, 31, 1941.
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; STATE OF FLORIDA, COUNTY F _ ~~~L!I - - ~ G~.F - . - - ~ ~ _ , 197 S ~
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° Obligee _ _
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~ '~J TMIS FORM BECOMES A ECEIPT ONLY
~ l~~ S(..`1 L(,,.~_ M~MEN VALIDATED BY RECEIPTiNG O !
O s MAGHiNE OR SIGNED BY THE CLERK, s----- -
CONSIDERATION COMPTROLLER OR AUTHORIZEO OEPUTY. AMOUNT PAID
- TAX MUST BE PAID TO ENTITIE ABOVE C
' DESCRIBED INSTRUMENT TO RECORD. . "v rv
SEE F.S. CHAPTER 19a. ~
C
CLERK. COUNTY GOMPTROL R OR AUTHORIZED DEPUTV
DR-6f0•B PAYMENT RECEIVED 8 CERTIFIED ABOVE -
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- ~ $c~~ Pacf Id `
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= C~k.i4k.~37- PAqe- ~~C+$~
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