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STATE OF FLORIDA )
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COUNTY OF ST. LUCIE)
WE, FRANK H. PELT:~ER, ROBERT M. LLOYD ,
HELEN M. SM~TH ARLENE B. WELSH. ~
the testator and the witnesses respectively, whose names are
signed to the attached or foregoing instrument, beinq first
duly sworn, do hereby declare to the undersigned officer that
the testator siqned the instrument as his Last Will and that
he signed voluntarily and that each of the witnesses in the -
presence of the testator, at his request, and in the presence
of each other signed the Will as a witness and that to the
best of the knowledge of each witness the testator was at
that time eighteen (18) or more years of age, of sound mind
and under no constraint or undue influence. ~
W. P ier
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Wit ess
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Witness
` Subscribed and acknowledged before me by FRANK W. PELTIT~`,~
' the testator, and subscribed and sworn to before me by R~B$ .~~~t'"'"
' 7 1,.
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` M. LLOYD and ARI,ENE B. WELSH , tW0 (2) Of the,,~~i+'~~~ ~y .
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E nesses, on the ~ day of January, 1974. ',-~1 t'" Y~
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T CO Rt ~ NOT Y PUBLIC , tate o F o a ~
C~ER ~ER1f,E1D ...~"'r' at Large . • .
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NlILL dRIFFIN JE/FRfES ~ LLOYD
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~ P O BOX 1270. iORT WERCE. FLOA~DA 33450 - TELEVMOM[ (~OS)464-8200 ~
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