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'JOSAPEf A-. SHITtp AA±Ift I mi� *,67 4(�,- 620 : -I& AlThe 4ped Iiii6" ?i FoXja GENERAL DESCRIPTION OW4A 0 b. Ad&v, �-1.---w_- .$i � d .dame and addiess of fee simple atlehotder (rFnrlur than owner) _ FI9.O:pmy lz 'sURETy,&NAh&, ADI)RESS-AND-pHONE�N-UrABER^AND WOND AMO A, 67;LENDEP-IS.,r4AME;AI)OPXSSI:AND PHONEWUMBEIL 7-i Flbrida Statutii. loe Jones Pr_'P&M�'Wdi�FL, 902,,(7,721201,-84* Nbfiu:Ai :77 :5igpatur:of Owner, oe Ernt Name and Provide 'Pry t6uft 'Ot'st'Low . ..... �. 11 - W -- - (Punted I�tarne of Notary Public); Udder cs Pia o"" 1ta.tlla' fj- . ..... thilacii b iJ i d, (i 6 & 6 4 1 i - 9 2 WF 1%, , i s tawtt- s Sj9mtuW'$i-oidwuer(s),or'dwne ",u oriz4,bA*corffii F(SY AA� b�, The, Honorable —OWN, bis iah-� signed- 2 0 0A '."O'lf.'0-5957' Cgr t#i' d; Copy 70.41 , i.-,n i>*P-rr-a.-. Ffc