Aff - D'Ambrose, Bernice_10/20/1980�- -` ., , � ��
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STATE OF INDIANA
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COli'�'fY OF GIBSOr
A F F I D A V I T
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P!arie Parsons , bein� f'irst duly sworn upon her oa[h
__, ` deposes an�i says that affiant Was personally acquainted aith Bernice
' J. D'Ambrose during here lifetime, and that she died on August 3, 1972, and
� Ihat at thc time of her� death left her Widower, Anthony D•Ambrose
surviving her.
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STATE OF INDIANA
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COU�'fY OF KNOX
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Marie Parsons
5ubscribed and sworn to before �me this 24th day of October , 1980.
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Melinda J. Page, �Residi� in Knox Conncy
Piy Comr.iissi.on Expiress
Fiarch 14, 1°81
This instrument was prepared by T, 6talph Alsop�. Attorney.
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