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of the TO WIT:
in the County of
make oath and say
1. Z' hat I was personally present and did see the withi
n INSTRUMENT AND DUPLICATE
thereof duly signed, ealed, and executed by
- a the parties thereto.
2. 65hat the said
! INSTRUMENT AND DUPLICATE were executed at
-9• ZI hat1know the said��
part -cam
4. TWO I am a subscribing witness t0 the said INSTRUMENT AND DUPLICATE.
11�01ri before me, at
in the ozznty of
tlz.zs day of
in the year of our Lord
14 Commivsioner for taking Affidavits in B.R.,