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1 <br />? Mis - R/{i FORM +~ 1 <br />I.oCA7IUN H-12-5-16 (B) 81 -- j) F ~ .`~ '~~ R91cX1IRESl3 COPIES <br />A'CTAC~$lEiRt " A" <br />Mete of ~sbreaka ) <br />3 ss <br />County of ) <br />On this gi ~~ day Qf -,- fi ._,._. 14~.. <br />appeared before aw~• ;~_ l~aor.~;5, to sir personally known to be <br />tho individual dfiaae ease is aubsGribsd to thin iastrusent as a <br />subscribing witness, she being fi&st duly svere~, upoe oath drposes <br />-mad st~sa--- ------ --- -- <br />1. Thet Affiant resides at ~ C~ `7 2- ~, ~i ~ ~ T <br />2. rt,at Affiant executed the above and foregoing <br />instrusent as a subscribing vltnass; ~~ <br />~Er~ c . ~~i~ ~7«= i3~~.~ <br />3. chat Affiant pezsoctai2y knows~7f-i~.U~~ ~=• M~TTG.vf3f~~~-%~C <br />grantor(s) and personally vitnsased the grantors' <br />execution of the foregoing easesent. <br />`~ ~ <br />~,~~ !-' - <br />anepNtsmnr-~„FMwrr % ary Public <br />Mr110r0 L 1®NM <br />~r Cair. tea. JrM 7 tORi <br />i~ <br />!!p Cossission 8xpiraa ' l4 <br />.'• j /~ <br /> <br /> <br />U <br /> <br /> <br />