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AFFIUA~'I'L' U} (:UN"C1NlIUUS PIARRIA(;E
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S"I'A"1'E OF hEl,' JERSEY
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t;0UN1'Y OF~'„aG~,r
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KEN'URE ME, the undersigned au[hority. personally came and appeared
ROSE GUIDE ~ , who, being first duly sworn~ deposes ~
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and says: ~
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'fhat Affian[ is the surviving spouse of CAR.*tltiE GUIDE . ~
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and that ctiey ~.rere married in ~ , r,~'° _ ''"~~-i • j~ ~ ~
on , 19 and that they remaineJ continuously married
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to each other un[Il [he date of death ~n . 19
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ROSE GL'IDE
Sworn to and subscribed [o before
me [his 1~,~ day of _,]uly , 19~
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ARY PUBI.IC~ tate of
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Commission expires: ~y,
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~ TH I S I N5"I RUMEN7' PFt~ PARt:I) BY yar i lyn L. Russe 11
~ L'niversal Land Title
~ Address ZOUO S.E. Port St. I.ucie Blvd.
port St. [.uc:e, Fi. 34952
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~ ~1Ot33£~
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