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.tameD M. Claok
Margaret L. Claok
Subsoribed and sworn to before me this
10th day of Ootober, 1922.
Gertrude M. Bowdle
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( Seal )
{(B.P. Rotary Publ1o,
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\ My oommission expires
, , Maroh 10. 1924
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Re('ord Vcrf"e~
Piled and reoorded 22nd day of January 1923.
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P. C. Badred, Clerk Cirouit Court
BY,,(b~ ~
D. C.
................................ ........... ........... ................ ...... ...... ...... ....
DISTRICT OP COLUUBIA )33.
Before me, E. M. Roland, a notary public in and for said Distriot of' Columbia. per-
sonally appeared James M. Clack and ~srgaret L. Claok, who, being duly sworn, depose and
S&y:
That they are respeotively the father and mother of Uujorie ~. Clack, deceased; that
their said daughter MaJorie M. Claok was born on July 20. 1901, in tho jtate of ~issouri,
and that on Aplil 23, 1922, their said daughter. UttJorie M. Claok. died in PhoeniX. Marioopa
County, Arizona;
That in the year 1920 or 1921 the affiant, James Wl Claok. exeouted 8 deed to aaid
daughter oovering the W. 10 acrea of tract 13, 3eotlon 33, township 33, Jouth of' Range 39
X" w~~ch deed was placed on record in 3aint Lucie County, Florida;
That at the time of her death the said kajorie M. Claok was aged twenty years, nine
months, and three days, and died-without le~ving a will; that the decedent died without
debts, and that these afflants, as the father and mother of said deoedent, are and were at
the ti~e of:the deoedent's death the neurest relatives and the sole heirs of the decedent,
the deoedsnt having died without brothers or sis'ers
and tte said decedent h~d never been
married and so left no deoendants or husband.
James U. Claok
Yargaret L. Clack
Subsoribed and sworn to before
me this 13th day of Deoember,
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A. D., 1922.
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E. -. Boland
Botary Public in and for the
District of Columbia.
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Notary Publio in and for the
Distriot of Columbia. /
My Oommission Expires July 26, 192i
Pllfld and
1~ day of January 1923.
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P. C. Aldred, -Clerk Cirouit "ourt
By ,,& ~ ~~ i>. C.
Record Verified
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