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S'~'~Z~ OF FLORI~A )
COUNTY OF MAR TiN
.
We, Wi~liam R. Kaufman, ~_ ~ .
,
. ~ ' - "' ~
and,/ _ ~-~,/~~f~ ;~ i ~,.~, /fl..,,.,.
the Testator and the witnesses respectively, whose names are signed to
the attached or foregoing in.strument, being first duly sworn, do hereby
declare to the undersigned c~ficer ~hat the Testator signed the instrumer.t
as his Last Will and that he signec~ voluntarily anci t.Yiat each of the
~,~itnesses in the presence of the Testator, at his request, and in tl,~e
presence of each other signed the `,Nill as a witness and that to the best
of the lalo~rledge of each ~~itness the i'estator wati at that time 18 or
more years of ac~~, ~f sounci mind and under no constraint or ~,uldue _
influence.
~ i "' .:.!• ~ / " ~i~: -:. ~• ~
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W itnes s I
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~Nitness , ,
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Subscribed anci acknowle~ged b~fore me by Wiiliaxn R. Ka~m~an
tY~ Tes o1~,~ B ~ubscribeci ~ei s~NOrn to b cs-e~me~ by ~
, ~
' ~ ~ ~1.~: ~i ~ ,.~ .~ . f/~~ : ~/!Ji-f'' ~
d trie ~:ritnesses, on th 1 day
, ~
cf L`e:.•er:~ber, 1973.
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.
, < <A~ `: c~'"''` a i~lotary lic
,.tt K,~ f! t'N' I.I 1~.
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~c~,, ~ ' ~ ~~ :~~_y Commission Expires
., ..
- NOTARY PUB~IC STATE Oi FLORIDA AT UIRGE
I . _.
` MY COSAMISSION EXPiRES OEC. 11, 1g74
A G[HL• ith; ~:;~~,2ANCE UN~ERWRITERS, iNC.
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~~~'~x~351 s~~ti847
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