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STATE ~ FIARILIA
~TI'Y OIr ST. I~CIE: .
We, I~[al A. I~iI(~iOI.S(~1, and Ellen Van Matta and Linda Van Natta~
the TFSTATRUC and the witnesses respeckively• ~D~ names are signed to
the foregoing instn:cient, being stiaorn, hereby declare to the wx3ersigned
officer that the TE,S'TATR~ signed the instnment as her last will; and
~,t she signed volwntarily; a~ that each of the witnesses in the ~
presence of the TESTATRIX, arr3 in the presence of each other, signed the
will as a witness.
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~ Subscribed and sworn to before me by )E~La1 A. NIQi~i-S4N. the TF5'II~TR.IX:
atr3 by Ellen Van Matta arld Linda Van Matta, the witnesses. oci May
~ 1978.
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>Mrnnro? ns«c sr~h a arorti~xr.u?iooh . : -
rirr co~nusswN ~v+~s wit ia~~rt•
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K FIL:O AN!: GcCCI'.~'ci3
S i. lltClf CC~U~1T Y, f ~ A.
is06ER P~ITRtiS
tt £RK CiRCUlT CO~~
Robert A. Van Matta, AttArney at Law r; e~so vr; ~Ffi " _ _S~ 5----
206-B South Indian River Drive
~ Fort Pierce, Florida, 33450
46?3200 s
Page .Three of Three Pages.
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