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nn tliis c~ay p~~sonaUy appearecl be~ore me.._.....BERNARD RUBIN,~_.Receiver of D.A. D.
-------Inc.-------------------------------------------•---------•--•-•-•------to me wel~ kno~un and {zno~un to me to 6e the indi-
~~idual__.__.__ descri~ec~ in and who executecl tl~e f
oregoinfl deed o~ conceyance, and acknowledged
; tl~at _..._he _..._.__executecI tlie same ~or t~ie purpose therein expressec~. wjiereupon it is pmyec~ that
t1i~ sc~me may be recorclecI.
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.Jt1 ~itn~~~ ~l~erepf. 1 have liereunto af~ixed my hand and oj~icial seal, iliia_..5th_,
c~ay of.._._MaYCh D. 19._.. 76-- . ~4''~
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(Seal) -NOT.-__Y--P'IJBLIC_STATp_~jF '~RIDA
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~#~te rf .~lnri~tt, ~''~Y commission expi~qs ' ' " ~
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in ancl Jor snid County nnd S~ate: do certi~y tleat on tlie______________________________________________________________clay of i
f~. D. 19_...._._. personally appearec~ ~e%re me. ~
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his iuife, to me well ~nown, and known to me to be t{ie indi~~idual..__._ described in and who executed
the ~oregoing deed, and severally acknoiuledged t{iat________________________executed the same !or the pur- ;
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poses t~ierein mentionecl. and the said---•---------------------------------------•----------....--------...__., upon a aeparate t
and pri~aie examination, made separate ancl apart ~rom her hus6and, ihen and there ae&nowleclged
be/ore me that she erecutec~ the saicl deed `or the purpose of conveying and relinquis{~ing jier dower
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; anc~ rig{it of dou~er, ho?nestead anc~ separate Pstafe in anal to tlie jands therein described, and a~so in i
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~ ~ token o{ ha~~ing consentec~ to tl~e alienation o~ said describecl Ianc~s, ane~ ihat she c~id t1~e same ~reely i
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; artc~ voluntarily, aru~ wit~out any constraint, apprehension, Jear or compu~aion of or ~rom her saic~ ~
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~ Given under my hand anc~ o~jicial seul at----------------------------------------------------------•-----------._, in aaid
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' County arul. State, on t~s..---------••----- day o~------------------------------- . A D. 19....--•-
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