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-R <br />Witnesses: <br />4 7i J k L <br />Printed Name: 1if_Y1eij{. (/fin/ii (, <br />geet— <br />Printed Name: j6,- ,. rnt- <br />STATE OF FLORIDA <br />COUNTY OF INDIAN RIVER <br />ST. FRANCIS MANOR OF VERO BEACH, <br />FLORIDA, INC. <br />By: <br />Date <br />rank L. Zorc, Presi• ent Emeritus <br />The foregoing was acknowledged before me this 4-5 day of January, 2006, by <br />Frank L. Zorc, President Emertius of ST. FRANCIS MANOR OF VERO BEACH, INC., a <br />Florida non-profit corporation, on behalf of said corporation. <br />42_ec, Wpiu20},_ <br />Signature of Notary Public - State of Florida <br />Stamped Commissioned Name of Notary Public <br />with Commission Expiration Date and Seal: <br />Personally Known OR Produced Identification <br />v. Lea R. Keller <br />My Commission DD315301 <br />11.1aasir Expires May 16, 2008 <br />Type of Identification Produced <br />3 <br />