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~ STATB OF C,~-~~-0~
COUNTY OF (~G.1 ~Q«C,l~-C.~
Before me, the undereigned authoritq, this day personally appeared
oirginis C. Thompkins foroerly knam as nirglnia C. Dean
to ~e vell kaavn and kna~m to me to be the individual described in and Who ~
executed the foregoing inetrusent, aad_they saverally acknowledged before
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~e that ~ahe ezecuted the sa~e for the purpoaes therein espreased.
' rc. WITNBSS ay hand and official seal this day of , A.D.,
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° ` ~ otary Pub ic in" for he Couaty sad State
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~ 315361
~ Return To: HomcsteQd Tit(e Services tnc.
~ 319 Clematis St. . ,
~ Comeau Bldg.
g Suite 3
~ : W. Palm B~ch, Fla. 33401
~ a~RK243 ~,,~f S
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