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WI ESSES: <br />(signature) <br />(print name) <br />( ignature) <br />(print name) <br />STATE OF FLORIDA <br />COUNTY OF SEMINOLE <br />SOUTH SEMINOLE LODGE NO. 364 FREE <br />AND ACCEPTED MASONS OF FLORIDA <br />1 , <br />By: , <br />Robert Billoni, President <br />The foregoing instrument was acknowledged before me this day of , <br />2007, by Robert Billoni, President of SOUTH SEMINOLE LODGE NO. 364 FREE AND <br />ACCEPTED MASONS OF FLORIDA, (check one) ❑ who is personally known to me or ❑ who <br />produced <br />as identification. <br />Notary Public <br />Print Name: <br />My Commission expires: <br />G:\Docs\Reischmann\CDR\Casselberry\RET\Masonic LodgeTarking Agit City Version 011408.doc <br />-7- <br />