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~ ~ ' ~ dHORT FORM
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~ ~ ~rom
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~ ~ ~y ~ " ~ ~ ~ :s ~ate ~ ;
o ~ t•~ ~ ~ ~ ~
O ~ ~ ~1 ~ 4 ~ G`a'
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~ . ~ ~ ~ ~ ~tntt Of ~OCll~l, i
~ ~ , ~ ~OUnty of ,
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~ ~ ~ on thrs day o/ , ;
~ A. D. i9 , at u'cfock m„ this ~
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ti~+~ y~ instrume.nt waa fled (or record, and being
~ tl q duly acknowledged and proven, I haue re- ~
- o, corded the same on pagrs ~
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f; o~~ oJ Book in the pu6lic records j
~ o/ said County. I
c~ M,~N~~ F
~ ~ C ~r • 00 Z! ~11 ~~NK~I I I1QUf IICPP-
~+a b~ urtto set my hand and a~xed the seal o/ the
~ ~ Circuit Court o/ the
c~ ~ Judicial Circuit o~ said Sfate, in and /or
a d C ~ said County.
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