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STATE OF FLORIDA
COUNTY OF ST. LUCIE
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, VIDA B. PETERSON y and ~fj~~~~~
' , the testatrix an the witnesses respectively. whose names
are signed to the foregoing instrument, being first duly sworn, do hereby de-
clare to the undersigned officer that the testatrix signed the instrument as and
for a Codicil to her Last Will and Teatament and that she signed voluntarily and
that each of the witnesses in the presence of each other signed the Codicil to
her Last Will and Testament as a witness and that to the best of the knowledge
of each witness the testatrix was at that time 18 years of age, of sound mind .
and under no constrafnt or undue influence.
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Testatrix
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i ness
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Witness
Subscribed and acknowledged before me by VIDA B. PETERSON, the
Testatrix, and subscrib d and sworn to before me byg j~~a~,,~~
and 1~,~. , the witnesses, on , 1976.
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~ Notary Public,: State of Florida at Large
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