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A F F I D A V I T
COMMONWEALTH OF FLORIgA
COUNTY OF ST. LUCIE
~ SS:
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~0 1/t~GIN1A (~ECKI"tN~~ 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 under-
signed authority that the testator signed and executed the instrument
as his last Will and that he had signed Willingly, and that he
executed it as his free and voluntary act for the purposes therein
expressed, and that each of the Witnesses, in the presence and
hearing of the testator, signed the Will as Witness and that to
the best of his knowledge the testator Was at that time eighteen
years of age or older, of sound mind and under no constraint or
undue influence.
. ~
Testator
80 ~?5
Wi~./t,'neJss'
(/ 7
Wi tness
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Wl t!>f~SS
Subscribed, sworn to and acknowledged before me by CA(tM~NE. t~i121sE,
the testator, and subscribed and sworn to me by ~~1~~~~?~y
witnesses ,
this _~~" day of ~, jy aJ~
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190 D~~ I S AN ~~ 01
FILEC the FECOkirt 0
S!. LUCIE COUN ~ Y. f t A-
ROGER POItRAS
CLERK CIFCUIt tf UR /)
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