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ST. FRANCIS MANOR OF VERO BEACH , <br /> FLORID INC . <br /> By : <br /> Print : Louis Schacht �� � s C . S � � ac.(VA <br /> Witness : <br /> /§ "/ <br /> Date to - � - ( Z <br /> Printed Name : . !! ' <br /> Witness : r <br /> Date ( Q _ <br /> Printed Name : kfa /lil h4l) <br /> STATE OF FLORIDA <br /> COUNTY OF INDIAN RIVER <br /> The foregoing was acknowledged before me this day of , 2012 , by Louis <br /> Schacht, President of ST. FRANCIS MANOR OF VERO BEACH , INC . , a Florida non- <br /> profit corporation , on behalf of said corporation . <br /> NOTARY PUBIC : <br /> Signature f taryublic - State of Florida <br /> Stamped Commissioned Name of Notary <br /> Public with Commission Expiration Date and <br /> Seal : <br /> l Hc�r . Mosses <br /> ,_ . � commission # EE 062656 <br /> Exores March 26, 2015 <br /> 6m*dTwtwrtieaau.mooa Personally Known Known OR <br /> Produced Identification <br /> Type of Identification Produced <br /> 3 <br />