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signed our names as witnesses thereunto, in his presence and in the
presence of each other, and have written opposite our names our
respective places of residence, in the year of our Lord, One Thousand
Nine Hundred Seventy-Six. -
~ _ j~ residing at ~Q `
' - - Fort Pierce,. Florida
residing at ,~i.~I~~ tl~i~i/~~ 1~'M?~
Fort Pierce, Florida -
STATE OF FLORIDA
COUNTY OF ST. LUCIE
We, GDORGE H. TOFTEN, MARY LOU P IL•LTPS and R. N.
KOBLEGARD~, III the Testator and the witnesses respectively, whose
names are signed to the attached or foregoing instrument, being first
duly sworn, do hereby declare to the undersigned officer that the
Testator signed the instrument as his Last Will and Testament and that
he signed 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
i
witness the Testator was at that time 18 or more years of age, of
E
sound mind and under no constraint or undue influence.
1 i
estato -
n
L~ ~ '
- Witness
- Wi ess
Subscribed and acknowledged before me by GEQRGE H. TOFTEN, the
Testator, and subscribed and sworn to before me by MARY LOTI PHILLIPS
.and R;~N. KOBLEGARD, III witnesses, this_s~day of November,
196. / C. ~~-l
,r o.... 4
Notary Public, State of Florida
' ~ ~ ~ 4~ At Large
~ ~ ~ - ; ~ .Commission Expires
- ti~l' T . r10TARY P11>lLIC STATE Of FLORIDA AT LARGE
; ;3±." IRFS MARCH, 28 1980
+ Q - ~ ` ' Y COMMISSiUV EXP
~ ' ~ o p~ ` ~ ` ~IDED FHIIU GENERAL INS .UNDERWRITERS.
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