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INDIANA
STATE OF ~'~¢~1~~ j ~ „
t:OUyTY UF i~~~'~I~J ) '
•/~A, ,e i o~? A 1A L HOLMES his wife ~
Before me personaUy appeared _JACK_F. .HOLMES _and -P-- -TRIC_. -
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tu me we~ known &nd known to me to be the inclividual S described in and ~vho executeci the foregoing instrument, and aclanowl-
~~lgecl:~fure mo lhat t..heY_ execuiecl the same for the purposes therein expressed. .
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•~~IT . ~~~y~"_ I~nnd and of[icial scal this „3-~!~_ day of _M8y- . . . 19 76.
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~ S~I,~' t~ 1\otary Publie in and for the ~ounty and tat Aforesaid.
- : \h~ commission expires: • ,fJ..t e, s~ 7 ~
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:-,+~Z, ~fit~~.~_ Arlene A ~ y p~
~TA'I'~`U~~~~LOR1DA ~ r.r, ~!L.•~~r.s^::. Ne~ar Pu
e:UU\1'] OF A~ART11t ss. MyGf'.;tt:r.:~:~::e~ ~,'C~ras ~l~C. A~ I97$
Before me pcrsonally appc:~red - - . _ . . _ _ _ _ _ _ - - - - - ~ - -
and - - - - - - - - . to me well Ia~own and
kno~~~~ to me to be the _ _ - - President and--------_-- _ - Secretary respective]y of
- - - - _ - , the coriwration named in the foregoing instn~-
ment, ancl kno~vn to me to be the penons who as such officers of said rnrporation, executecl the came; and theu and d~ere the said
- - - - - - ------------and the said . _ -
~lid aclmowledge before me that said instrument is the free act and mortgage of said corporation by them respec.tively ezecuted
.~s such officers for ihe purposes therein expressed; that the seal thereto attached is the corporate seal by them in Iike capacity
:i(fixed; all uncler the authority in them duly vested by the Boanl of Directors of said corporation.
~~'IT\I:SS mv hanc~ and official-~eal this . _ day of _ _ - 19 •
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;SEaL) Notary Public in and for the County and State Aforesaid.
~ty wmmission expires:
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I INTANGIBLE PERSONAL PROPERTY RECEIPT 2 6 5 3 61
~ TO BE ISSUEO BY THE CIERK OF THE CIRCUIT COURT IN THE PAYMENT OF TAX ON MORTGAGE, DEED OF
~ TRUST OR OTHER IIENS UPON REAL PROPERT~f BEARIN TE SUBSEQUENT TO DECEMB~R 31. 1941.
STATE OF FLORIDA. COUNTY OF _ _ - ~ ~ -197~-
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~ Z Obligee -
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~ ~ ~~ry.~ ~/lI _ TN~s FOAM eFCOMes w RECEIPT ONLY ~ j
s p/ ~J WNEN VALIDATEO Br RECEIP~ING MACNINE y ~`7'
or~s DER~T~ON OR St~NED BY THE CLERK OR AUTHORIZEO f A40UNT PAID`
~ DEPUTY
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~ TA?i NUST BE PAID TO E;~TITLE ABOVE DE- G~~,
SCRIBF.U ItiSTRi.MEtiT T(~ F.CORD 5EE
q FS. CHAPT i99
~ . CLENK O AUTM IZEO DEPU: V
PAVMENt ftEGE1VED S CERTIiIED ABOVE
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