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WITH ,:~~?~ICdJ~,I~~ a P~ RKS: l preceding the fIrst publication of the attached copy or advertisement; and affiant further says that ( s) h.e has neither paid nor promised any person, ROERGULAtl~ 8'~ q~ R, fI~~ S T, IN,. ' ipARj(~NfN~ ClJ,Cl, T ES;" fL.-: m. or corporation any discount, rebate, commission or refund for the EQUIRINGU:~;" 08e pu...~ of securing this advertisement for publication in the said CO'9tROV"' PBQ~~~ t. newspaper. VFr5,~~ BttlTyAANND EFFECT/Y' .'....",T~.",...' " y~&.'~..' STATE OF FLOHIDA Q~ l;...,!. h. ~~ : P~~.~.....~,..;. o.' 9f~: r~s ,", hP. t,'..... H1%,.~,;.. i~..;.~' my . COUNTY OF OKJ... LOOSA r. gsi8e ..... ..' $ Uch:~ l?(') orJnS;;' YfiH" I:l~~ d..a record' of the' I2krjp5' proce'ed- lOgs}. f, '. O,nd ....... for' . .. such ed and FJWorn to ( or affirmed) before me this r'noX, I ate) purpos,e. n~~d .,.'to ensJ\ re:; 1that e..,.~etPQtim recprd~H?l jhe>.pr9c;eed~ b~. Tho J; is/ are personally kno~ rn to me or 1!'I9s.' 1~! It;made ' Which' tI~f . "'{:: te" s't'I.! n. roduce as identification. 5"! W.' f- L.. WIC~.ho!t/.~.. ' ."6n: ...~ ' '. ori~ tne. O~ cll' ., hasrFve lEANOifHYPESft"~ III!I""",," ds~~l(F$~ a?..OJ~$ ....'. u I ,. ~ atary Public, Comnlission No. ,': 1,' A m~ h~ PSons...,. s,,,~ ct .. i~ 00, eres,. tofhe w.. .. D.is.o.., i.th.....: 9.1., wil!Lmoke 1Q' b.il.l.i~. HYJhfR(j~ho/alton e9s,oAoQI~-; he O.... Jo. I..,." gj..~"~~"c;SEls.',~,: tv.iS7rhee.tir\gmodrficbfioh!:: Name of Notary typed, printed or stamped) IJP~ r. 1iPleqse reqQe$t);'; c:arl I~Jn~'

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