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ST. FRANCIS M7� ' 7 <br /> - BEACH, <br /> FLORIDA, INC. <br /> By: <br /> A hon O e esI <br /> Witness. Witness: <br /> Printed Name 0y\ur> ( r��c� Printed Name. A!"4 j 4 t/ /if Z/ ,1 z"t <br /> Date Date <br /> STATE OF FLORIDA <br /> COUNTY OF INDIAN RIVER <br /> The foregoing was acknowledged before me this (� �f day of rc � 2016, by Anthony <br /> Dzielski, President of ST. FRANCIS MANOR OF VERO BEACH, FLORIDA, INC , a <br /> Florida non-profit corporation, on behalf of said corporation <br /> NOTARY PUBIC: <br /> r - f <br /> Sig ature 6f Notary Public - State of Florida <br /> Otey'• NANCY H.MOSSALI <br /> := Commission#FF 185404 <br /> ,P Expires March 26,2019 Stamped Commissioned Name of Notary <br /> • p� ?.` Bw Md Tft Troy Fen k wry ve 900.38,`x7019 <br /> Public with Commission Expiration Date and <br /> Seal: <br /> Personally Known �_ OR Produced <br /> Identification <br /> Type of Identification Produced <br /> CSE � f i ei Cl( <br /> 4 <br />