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STATE OF FLORIDA )
COUNTY OF BROWARD)
BEFORE ME personally appeared VIRGINIA W. BALLANTYNE
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to me well known and known to me to be the person described in and
who executed the foregoing instrument, and acknowledged to and
before me that she executed said instrument for the purposes
therein expressed. -
- WITNESS my hand and. official seal, this~~~day of. '~f.,;:,',;;; ~
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1975. - ~ .
' ~ .
ARY PUBLIC = 1 • • • '
State of Florida at '~.arye - _
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My commission expires: .
Notary Public, State of Florida at Largs _ ' ~ - •
' ?h Coramssioa E,c~res Feb. 24, 1976 • ~ •
STATE OF FLORIDA )
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COUNTY OF BROWARD)- -
We, VIRGINIA W.~BIALLANTYNE, ,
~i.~. i t,~.~/ and . '
`/the Testatrix and the witnesses respectively, whose names are
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signed to the attached or foregoing instrument, being first
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• duly sworn, do hereby declare to the undersigned officer that
j the Testatrix signed the instrument of her last will and that
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she signed voluntarily and that each of the witnesses in the
j presence of the Testatrix, at her request, and in the presence
of each other signed the Will as a witness and that to the
-best of the knowledge of each witness, the Testatrix was at
that time eighteen (18) or more years of age, of
sound mind and under no constraint or undue influence.
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VIR NIA W. BALLANTYN~- .
WITNESS j~h
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12- 8~ 331 P~cF 20S
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