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and without order of Court. i
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:i I have signed this Will consisting of this and two other ~
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; typewritten pages on the bottom of each of which I have signed
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my name for greater security and bet r identification on this
j day of May,_1978.
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~ Wl~ ~~Kl1r~Y thac in our pYeseii~:c ~~~C 1C.y Vtl1~V~ ~ C1i~,.~S H.
SIMMONS, signed the foregoing instrument~, consisting of this and
~i two other typewritten pages, and acknow2edged it to be his Will,
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and at~his request and in his presence, and in the presence of
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~i each other, we have signed our names below as witnesses this
I; day of May, 1978. -
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!j , ' Residing at JENSEN BEACH, FLORIDA. ;
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i~ ~J Residing at JENSEN BEACH, FLORIDA. {
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ATE OF FLORIDA ) ;
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' COUNTY OF MARTIN ) '
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wE , c~~s x. SIMMONS , ppNNA Y. HALI and
MARGUERITE H. BLODGETf , the Testator and the witnesses respect-
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j` ively, whose names are signed to the attached or for.egoing instru`
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ment, being first duly sworn, do hereby declare to the undersigne~
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afficer that the Testator signed the instrument as his Last Will
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i~ and that he signed vo2untarily and that each of the witnesses in
the presence of the Testator, at his request, and in the presence,
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of each other, signed the Will as a witness and that to the best
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j' of the knowledge of each witness the Testator was at that time j
t; eighteen or more years of age, of sound mind and under no con- ~
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I straint or undue influence.
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c:. N4RRIS TILTON. i t r- ar es . immons
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P.A.
1770RN[T AT LAM -
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