HomeMy WebLinkAbout0359 ,
~
` . . ~ .
. .
•
~ • .
4~4228
AFFIDAVIT ~
STATE OF FLORIDA )
COUNTY OF ST. LUCIE )
BEFORE ME, the undersigned officer duly authorized in
the State and County aforesaid to take acknowledgments and
,administer oaths, this day personally appeared SALLIE W.
SURRENCY, who upon first being duly sworn by me, deposes
and says as follows:
l. That affiant and WILLIAM H. SURRENCY a/k/a W. H.
SURRENCY were ~ married to each other on G~.~- 17- /fs'o
i 2. That said parties continued to be married until .
;
~ the death of WILLIAM H. SURRENCY a/k/a W. H. SURRENCY on
~ April 1, 1978.
~ FURTHER affiant says not.
1
i
~ •
~ '
~ _ ~ ~
~ SALLIE W. SU NCY, A iant
~ SWORN TO AND SUBSCRIBED H;,;f~ RECOR~ED
~ before me this 16th day of ~:v~u'`
~ November, A. D. 1978. 28
~ 4i~2 05
~ ,.....L. ; ~ - 1~p~.~ 11 AM ~ ~ ' /n/
R ` ~ ,i • ' S ~ ~ ~ I
e ~ , ~ C ` .
a ~ r ~ - - - ~ ~
~ . ~~NO 3 ~ P _ iC Nolsy PUb11C, Florlda. State a! . ' . ~ : _ .
! ~ ~ v ' ~ : Yy Commission Expires Jan. 15, - ~ _ Z K . '
~ ~ ul~i~~-~o~rfssion expires: BondedbhNJedcolnsL:~...a;~_.
t ti' -
~ . ~
S • _ _ . •
:
k
J
s
~
L`'
i
~ ~
a f~i;." 3
E ~
g
Rj ~
d
~~'S~a~„xt~.~~.~,~'- "~s~'_µ~,~~ . . . ~~~~~a
~ ~~s r~ _ '