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STATE OF FLORZDA
COUNTY~OF PALM BEACH
We , , ~
and • , 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 officer that the testator signed the instrument as her last
will and that she signed voluntarily and that each of the witnesses
in the presence of the testator, at her request, and in the presence
of each other signed the wili as a witness and that to the best .
of the knowledge of each witness the testator was at that time
18 or more years of age, of sound mind and under no constraint or I,
undue influence. j
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A SEITZ, estat " j
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~Witness
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Witness
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Subscribed and acknowledged before me by - ,
t testator, a sub cribed an sw~o to e e by '
and dr the witnesses,
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Notary Pub i~c ~ . ~
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My CommissiQn Expires: : ~I.v~j;~=;'~=
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Courrty of Dade G.. / 9" • r+
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1 hereby C e rti f
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e true capY vf tt~e Ori~inal ~ '''~,,.'P•STA~~ b~~•
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Wttness ,t~actd and Mi 9er1.
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