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ST. FRANCIS MANOR OF VERO BEACH, <br /> 'ft— FLORIDA, INC. <br /> By: <br /> Louis Schacht, President <br /> Witness: Witness: <br /> Printed Name: Printed Name: <br /> Date Date <br /> STATE OF FLORIDA <br /> COUNTY OF INDIAN RIVER <br /> The foregoing was acknowledged before me this day of , 2013, 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 of Notary Public - State of Florida <br /> Stamped Commissioned Name of Notary <br /> Public with Commission Expiration Date and <br /> Seal: <br /> Personally Known OR <br /> Produced Identification <br /> Type of Identification Produced <br /> 4 132 <br />