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STATB .OF FiAIiIDA ) .
~ 8ffi,F Pi~00F OF 11ILL .
~ OOUNTY OF 11AATIN ) ~ ~
Ae, CLIFP'ORD 11. 3A101I3, ,
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and
the Te. ator and he witneases reapectively, whose e
aigned to the atta~hed or ~oregoing inetrunent, having been
~orn, declared to the underei~ned officer that the Testator
~ signed the inatrument as hia Last Ilill, that he sigaed, and that
each of the witaesees,~in the presence of the Testator aad in
the presence of each other, signed the llill as a witness.
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tness
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Subscribed aad sworn to before me Clifford W. Sammis, the ~
~ . Testator and by the witnesses ,
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on Jun 97?.
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Notar Pub ic
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"`ti.:'s C , ~}TAItY 3B~AL) My Commission Eapires • 02 3~
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OUGHT[R~WV, pUaNTiRiqi t PREWITT - P• O. DRAWER ~6, iTUART. FLORiDA 33aes
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