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AFFIDAVIT 8Y 3UAYIYItO 11~ARDZI~IG DECEASE~"OF OTHBR
SPOUSE WHER$ PROPERZR 1tM I~+D AS AN ESTATS BY THE ENTIRETY
STATE OF OKLAHOMA •
COUNTY OF TULSA
Before me, a Notary Public, this de~y appeared ALICE E. MELBOURNE
to me well knoWn,~ho being by me first duly sWOrn, deposes and seys as follo~?s:
1. I am the surviving apouse of ORVILLE W. t~LBOURNE
2. N~r said spouse and I, as an estate by the entirety, heretofore
acquired title to the folloxing St.Lucie , Florida property, to-vit: s
Lot 17, Block 36 of PORT ST. LUCIE, Section 25, a subdivision ~
according to the map or plat thereof on file and recorded in
the office of the Clerk of the Circuit Court of St. Lucie ~
County, Florida, in Plat Book 13, pages 32 & 3~ thru 32I. ~
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3. I~(y said spouse and I vere married to each other prior to the acqui
si±ion of ti±le to the above property and ~te remained married to each other, ;
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~aithout an intervening divorce, until the demiae of my said spouse. '
I~y said spouse beceme deceae~d on the 22nd de~y of Ju v _
;
19 69, at KnightstoWn , County of Henrv ~
State of Indiana
S. A copy oY the Certificate of Deaxh of ~ said spouse is attached
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I; hereto and by reference made a part hereof.
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I~ ALIGE E. I+SELBOURNE
Saorn to and subscribed before me at „ ~ sa
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~ # i:. the County and State aforesaid this 2nd ciey of April , 19~.
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. ' .~i•~Y~;{ . Notazy Public .
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• ~c:~ti,~sion e~ires: April 26, 1976
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T~fI$ IS A CORRECTIVE AFFIDAVIT TO CORRECT THE DATE OF DEATH IN THAT CERTAIh
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kf i AFFIDAVIT RECORDED IN OFFICIAL RECORD BOOK 236, PAGE 11+33 A1~D OFFICIAL RECORD
BOOK 237, PAGE 1600, PUBLIC RECORD6 OF ST. LUCIE COUNTY, FIARIDA.
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