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as s~ch attes~a~~e
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itnesses this ~f~~,day of ~_~ ~L~•:~ _, 1980
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STATE OF FLORIDA )
ss:
COUNTY OF BROWARD )
We, LAWRENCE H. HASKIN, 4fc.~~~~~, 1~rXcL~C.,~ and
~H~1~/f ~~,~ ~c.c Cl2, -, the Testator and the witnesses
respectively, vhose names are signed to the attached or fore-
going instrument, being first duly sworn, do hereby declare
to the undersigned officer that the Testator signed the
instrument as his First Codicil 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
Codicil as a witness and that to the b~t of the knowledge of
each witness, the Testator 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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itness
SUBSCRIBED AND ACKNOWLEDGED before me by LAWRENCE H.
~SKIN, the Testator and subscribed and sworn to before me by
J t c_D~E 1 i ~•-t~ ~C;,t;r~ and ~Ct~C~~ lF ~~ s~ .Z~c.~(iZ.
-e witnesses , on the ~~7j' day of ~~'C t C~ ~~ c ~ , 19 8Q .
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!!ANUEI. SPONDER
.Trowwcr wY u n
~ v?6 1.e~RAMAR rARKW'
! qANAR, FLORIOA l30;
y Commission expires:
T1e4a~ ~'uF~c. ~tztc of Rc;:,'.a ct L_.;2
t~iy Comrni:sian Ez?~~s Gct. 8. i':t-2
Vind~d ~r A-s.~~.:w I~•i G l.a.N11/ Cowr~~Y
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