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NQY Z~ I~O 1 1~ ~ FIRST NATIONAL BANK OF HOL.LYWOO ~ ~
2001 HOLLYWOOD BOULEVARD
~ P. O. BOX 4~
HOLLYWOOp. f1.ORIDA il02t
~11 ~ttllfss ~hlrtOf, the Mortgagor haa caueed this ldenture. conatating of four pages~ to be executed
the year and day firat above written.
$ign eealed and deliveted in our presei?ce•
-~i~t~r~?~ s~r~ r ~s~.,
. Morx' Gates
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Anna Gates
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The undersigned officer HEREBY CF~tTIFIEg that the persona who executed the foregoing mortgage deed
were peraonally known to me, and this day they pereonally appeared betore me and acknowledged that they vol-
untarlly, knowingly and ircely executed the same in the capacity recited in said mortgage deed, and dLd all things
recited in the testimonium clause thereof.
~lt ~ltqfs8 ~IjfCPOf, I hereunto eet my hand and oificial seal at E-]O11~WOQ~ ~R x~•~_~`;•! ~
G county ~a scace, rh~ 9 t h ~r of Oc t o b e r ; 1 18 7 5 ``!\o
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~ Ivocar,?~Ffb '
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~ My Commission ~Cpll'e8' N~T~QY pURI„ STATE Of H6R16~ U?~ `
r ' MY CAMM ..SION EXP~RFS lZIIT 7, .1j~77 ~
~ dONDED THRU GENERAL INSURANC! UNDER~RIIE~.• '
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~ STATE OF FIARIDA, $
` COUNTY OF BROWARD #
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` Before me, the undersigned authority, personally appeared ihe undereigned, who, betng by me duly aworn,
~ deposes and saya that the mattcrs and things shown in the aforesaid certificate of acknowledgment are true; that
~ all the provisions of this mortgage deed arn true; that the deponent has read and fully underatande all the provi- ~
sions o! this mortgage deed, and certificate of acknowledgment hereto attached, and this afiidavit; that no repre- ~
; sentations, promises, warranties or agreements not expressed in this mortgage deed have been made to induce the ~
' deponent to execute, acknowledge and deliver this mortgage deed, and the alYidavit hereto subscribed; that the
lien sought to be created by this mortgage deed is a firat lien on the property herein described; that there are
no unpaid bills for labor or material turnished or bestowed upon any improvements upon the above dexribed land.
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~ - Anna Gates Morr~s Gates ~
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Snb~rt and sworn to before me th 9 t h ~Y of OC t O b e T • 19 ~ 5 ~
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~ :''/~jy dpn~}p~.~p~a• NATAR1l ~UltUC STATE OF FIARIDA AT IARaE
` • ; ~ I ,~y . _ INY CAMM~SSIr1N EXPlRFS )Ot~ 7. 1977 ~ ~ ~
E ` ;/'r' lONOED THRU GENERAL INSURANCE UNDERWRlTER: BGuK ~'1~ FACE 712
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