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Return Na me 8 Address <br />� �y-vl�s� 1�c�C�Z _ <br />s-SOo C��c.�wc�oc� !�-�G�TZ <br />�UG+i-cT Wv� 4Fzc�� <br />li��'��'�ill��il��lili��il����ll���!!ii��111�� I�►������� ��' <br />2����4?C11i9 4 PGS <br />��I�r�iIS!i�COUIJTY � wPSH11��,'GiO�,' <br />Document Titic(s) <br />I'� J�G CO VE�,� A t�lT- <br />Reference Number(s) of Related Document(s) <br />GiBntor(s) <br />L t,.ti,S�f�wC�� \CG'.C-� c�l_ <br />3rantec(s) <br />C_�-+-.��ccvf��c� \Gcezc_✓� <br />AdAitiona! Re(erence #'s on Page__ <br />Fdditional Grantors a�� Paae <br />Addit�on�� Gr2nices on Page_ <br />Lega! Description (abbre�. iated form: ie Lot/BiocklPlat or SectionfTownship!Range) <br />�r��.r�,n�e �S` �nYJ,TD Fy�GvtcT 13L\G O�o �-00 �-c= Lo7-_��1 <br />Complele Legal on Page __ <br />Assessor's Property Tax ParcellAccount Number <br />Q(.��1 S I�1 O 1 00 11 UC7 <br />Additional Parcel #'s on Page _ <br />The Auditor/Recarder will rely on lhe informalion provided on this form The responsbility for thc <br />accuracy of the indexing information is Ihat of thc documr,nt preparer. . <br />(y <br />