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STATE OF FLORIDA
COUNTY OF ST. LUCIE
WE, GEORGE E. GURRIERE, ROBERT M. LLOYD and ~y
ELLEN DEILY , the testator and the witnesses respectively ~
whose names are signed to the attached or foregoinq instrument,
being first duly sworn, do hereby declare to the undersigned
officer that the testator signed the instrument as his Last
Will and that he siqned 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 tes-
tator was at that time eighteen (18) or more years of age, of
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sound mind and under no constraint or undue influence.
. ~ .
Ge
g E. Gurriere
1~-~
i~itness
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Witness
Subscribed and acknowledged before me by GEORGE E. GURRIERE,
the testator, and subscribed and sworn to before me by ROBERT
M. LLOYD and MARY ELLEN DEILY , the witnesses, on the
day of , 1974.
.
.Q
NOTARY PU LI , State of Florida
at Large._
My Commission Expires: -
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NlILL ORIFFIN J6FfRiCS i ll.OYD
CNAQTEftED
V O BOX 1270, iOR7 PoERGE, FLORlDA 33~50- TELEPHONE (3~S)461-8200 ~
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