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Right of Way - Tislow, Leo T_8/16/1978_ - ;�. � STAT� ° INDIANA INDIANA STATE HIGH�VAY C0�1�11SS10\ 100 North Scnare Avenuc Indianapolis. Ind�an,� 4620�1 puditor�e Office Gibson County Princeton, Indiana Deaz Sir: t�'`�*`a. � 1. s# � ` �; m;�- ',_ M' \\\\ I � `/ C� INDIANAPOLIS Room I 101. State Office Buildine 317-633-58 ( 6 Aug. 16, 1978 Enclosed find copiee of Deeda or GYanta on the follwing projecta vhich have been submitted to the County Recorder for recording. Project Parcel Road ST-5426(A) 7 SR-56 cc: File� OL�p �'�L'G 1 u 1978 ������/L{� AUDITpR Name Tislow, Leo T. Yours Truly Donald E. Christy Chief of Adminiatration Division of Land pcquisition 1; . . r` � WARRAP�ITY DEED • .� Project ST-5426 ( A ) Code 755C Parcel � �yis ��nDrnturc #�itntagttq, Tl�r� En 7� %/S!_ O Lf AbLrLi CPNMA2�lED MA�� � c.% � _ :�a±rs ?,v +^;�m�.r.ti "^: -°-` ----- £�A��d _.._..._.,...�..__....._�o__._. oj �T/�,�/1!� County, in �he Srate o) f n/ol A NA Convey nnd warrant m the STATE OF INDIANA Jor and in consideration of O the �eceipt x�hereo� is here6y acknowledged, the Jallowing described Real Estate in County in the State oJ lndiarta, to wit: G[esoN .'�' Dollars, A PART OF THE NORTH HHLF OF MILIT[A DONATION 17� T04lNSHIP � NORTH� RANGE 10 WEST� G[8— ,'SON COUNTY� INDIANA� DESCRIBED AS FOL�04lS:. BEGINNING ON THE EAST L[NE OF SAID MILITIA DONATION �� AT A POINT NORTH 2 DEGREES 45 MINUTES 00 SECONDS EAST 8.50 FEET FROM THE SOUTH— WEST CORNER OF Lor 9 IN BR04JN�S FIRST ADDITION TO THE T04lN OF HNZELTON� INDIANA� THE PLAT OF 41HICH IS RECORDED IN PLAT BOOK j� PqGE S8 IN THE OFFiCE OF THE RECORDER OF GIBSON COUNTY� INDIHNP.� WHICH POINT IS AL50 THE INTERSECTION OF THE NORTH BOUNDARY OF S.R. 56 AND THE 1JEST LINE OF SAID LOT 9� THENCE NORTH 87 DEGREES 15 MINUTES 00 SECONDS WEST �92.20 FEET ALONG THE NORiH BOUNDARY OF SAID S.R. 56 TO THE 41EST LINE OF THE Ol•JNER�S LAND� L•1HICH LINE IS AL50• THE FORMER LOCAT[ON OF THE CENTER LINE OF ROBB CREEK� THENCE NORTHERLY 3S.00 FEET H�ONG THE FORi+1ER CENTER LINE OF ROBB CREEK� THENCE SOUTH 8% DEGREES �S MINUTES OO SECONDS Easr �92.20 FEET TO THE EAST LINE OF MILITIA DONAT[ON �%� THENCE SOUTH 2 DEGREES 45 MINUTES 00 SECONDS dJEST 35.00 FEET ALONG SAID EAST LINE TO THE POINT OF BEGINiVING FND CONTAINING O.1S4 NCRES� MORE OR LESS, _ ALSO� A PART OF THE NORTH HALF OF M[LITIA DONATION 17� TOIJNSHiP j NpRTH� RANGE 10 WESTr GIBSON COUNTY� INDIANA� DESCRIBED AS FOLL04JS: COMMENCING AT THE NORTH4lEST CORNER OF LOT �O [N BROWN�S FIRST ADDITION TO THE TOl•JN OF HAZELTON� INDIANA� THE PLAT OF 4JHICH IS RECORDEC IN PLAT BOOK �� PAGE 58� IN THE OFFICE OF THE RECORDER OF GIBSON COUNTY� INDIANA�. THENCE SOUTH 2 DEGREES 4S MINUTES OO SECONDS WEST 8.50 FEET ALONG THE WEST LINE OF SAID LOT �O TO THE SOUTH BOUNDARY OF S.R. SE)� THENCE NORTH E% DEGREES 'IS MINUTES 00 SECONDS 41EST 24.82 FEET P.LONG THE BOUNDARY OF SAID S.R. 56 TO THE SOUTHEASTERN LINE OF THE O41NER�S LANO AhJD TH� POINi OF BEGINNING OF THIS DESCRIPTION:: THENCE SOUTH %3�DEGREES SO MINUTES 48 SECONDS 4IEST �108.03 FEET ALONG THc_SAID SOUTHEASTERN LINE OF THE 04:NER�S LAND� THENCE NORTH B% DEGREES 1S MIM1 UTES OO SECONDS WEST %0.17 FEET TO THE IJEST LINE OF THE OWNER�S LAND� THENCE NORTH 2 DEGREES 4S MiNUTES OO SECONDS EAST 2.00 FEET ALONG SAID 4JEST LINE TO THE CORNER OF THE 04lNER�S�LAND� THENCE SOUTH 87 DEGREES .7.5 MINUTES 00 SECONDS EAST 5.00 FEET ALONG THE SOUTH LINE OF THE OWNER�S L.QND TO THE CORNER OF THE�OIJNER�S LAND� THENCE NORiH 2 DEGREES 45 MINUTES OO SECONDS EAST 33.00 FEET ALONG THE WEST LINE OF THE OWNER�S LAND TO THE SOUTH BOUNDARY OF SAID S.R. 56� THENCE SOUTH 87 DEGREES �5 MINUTES OO SECONDS EAST 167.3$ FEET ALONG THE BOUNDARY OF SAID S.R. S6 TO THE POINT OF BEGINNING AND CONTAINING 0.094 ACRES� MORE OR LESS. � AL50� A PART OF THE NORTH HALF OF MILITIA DONAT[ON 17� TOWNSHIP j NpRTH� RANGE 70 WEST� I�iIBSON COUNTY� INDIANA� DESCRIBED AS FOLL04lS: COMMENCING AT THE NORTH4!EST CORNER OF LOT , Page 1 /` _ ��„� JUL 5 1319 (CONTINUED J P E 2)� , � )� � i.� N���-� Thi.r lnrtrument Pre ared �'�� • L. f � P . -.- . - _-t,C/-,.. .... . . . . CLH 3-9-78 � � � � PROJECT ST-5426(A) Cooe � 1554 PARCEL 7 �O IN BROWN�S FIRST ADDITION TO THE T04JN OF HAZELTON� INDIANA� THE PLAT OF LJHICH IS RECORDED IN PLAT BOOK �� PHGE S8� IN THE OFFICE OF THE RECORDER OF GIBSON COUNTY� INDIANH� THENCE SOUTH 2 DEGREES 4S MINUTES OO SECONDS NlEST B.SO FEET ALONG THE WEST LINE OF SAID LOT �O TO THE�SOUTH BOUNDARY OF S.R. 56� THENCE NORTH 87 DEGREES �S MINUTES 00 SECONDS WEST 24.$2 FEET N�ONG THE BOUNDARY OF SAID S.R. 56;TO�THE SOUTHEASTERN LINE OF THE OWNER�S LAND� THENCE SOUTH %3 DEGREES SO MINUTES 48 SECONDS WEST IOS.O3 FEET ALONG�THE SAID SOUTHEASTERN LINE OF THE OWNER�S LAND TO THE PO[NT OF�BEGINNING OF THIS DESCRIPT[ON: THENCE SOUTH 73 DEGREES 50 MINUTES 48 SECONDS WEST�74.17 FEET ALONG SA[D SOUTHEASTERN LINE TO THE SOUTH CORNER OF THE OWNER�S LAND� THENCE NORTH�2 DEGREES 45 MINUTES OO;SECONDS EAST 24.03 FEET ALONG THc 4JEST LINE OF THE 041NER�5 LAND� THENCE:SOUTH 87 DEGREES jS MINUTES OO SECONDS EAST %O.�% FEET TO 7HE POINT OF,BEGINNING AND CONTHINING O.Oj9 FCRES� MORE OR LESS. . u c e CLH 3-9-78 0 JUL 5 7918 i'7 �:.� �: � -� � •(Page 2 Description Page) @ ' ' "� . , , • �'�' e I �-, � • %� , - r � PROJECT ST-5426(A) � Cooe 1554 PARCEL 7 Lj � � �l' Z� .o 0 Land nnd imprmrme�us S.._ /..Z�_...-.--._.... DmnnSes 5.._�.� ............._-_: 7bml roitsiderution S.._(........._....._... .... The grantor shall clear and convey free oj al! leases, licenses, or other in�e�es�s both legal and equita6le, and all encum- brances o( any kind or character on,in and under said land as conveyed. !t is understood between the parties hereto, m�d rheir successars in tit(e, and made a covenant herein which shall rwt with the land, that all lands hereinbefore described (excepting any parce(s specificalfy designated as easements or as tem- porary righ�s of way) are conveyed in fee simple mid not rnerely for right o( way purposes, and that no reve�sionary rights whatsoever are inrended 10 remain in the granmr(s). �jn �inu5s }?�htceof, rhe said CTK A/�/7JC�2 - haJhereunto set H/J hand_ and seal _, thrs -� /ST dal• o( /`"I Ay 19� �° - - ........ - � - -.......... -- --�--......_ -- - ....(Seal)..._ .......... -- - ........... - -....... - -� -- -(Seal) ° -- - -.......... - - - .............. . .....:.... �� - ---...._(Seal)...... - -.......... �-- ---......... - -...- -..... ....(Seal) ...... - ....... � . .......... - (Seal)...... - - .........- -� - ............. - .__ - .....__.._(Seal) ... - ' --.. -- ;� -....-(Seal ..._ .........__(Seal) .. ...........X.... . f.�.°---L ..�. �� �.°-°° --- -........ )....- - - ...... - - .......... - -- L�n....T.....il�r�.C.l?(:�..AOU�7"...U.N..1�1��IZr.k(Beaq- -...... - ....--�--- -......... ........ -fseag .. ......._... --- -�--........- ---�-��--� -��� E -...... (Seal)..... .... ....._ � - .........-- - .............(Seal) - - ............:...... . .:.. ............. ��----............. - .-....(Seal) ._... - .._...._....- ........._- - � -......._... - --...(Seaq ...........--- -- - -...........-° --- - -- -°......° - - -� .....(Seal) .......... -.......-�- -- - .....°.---� - - -....... --- � � -.._(Seal) ..... .............- - -� ................ -- ........._(Sea!)_ - .........-- � -- - ...........- �- .........- - -........_.....(Seal) � ---_............_ ... ................--- -- - ....- ° - �- - -.......(Seal)...... - --..........- ..-.--......... --- ° ......... - --° .....(Seal) °, -- ..............-- �--...---........ - --.........--- - - ...(Seal) -- - ......... -- .......... - - - -... - - --........... (Seal) .° - ..._ .............---- -�--............ -........... ---.........(Seal).__ - ........ - .... -°� -- .... -�-- -- ........._ -(Seal) --- ---��----.......-------�-°-----------------�------..........---�--.............--(SeaO..-------.-..--..°-°.----........-----------.........--`---------...............(Seaf)' � .._------- ...............-----...............-----...........----�--........_(Seal)------......_----------.......... _---�----........... _-----------...............(Seal) STATEOP IND[ANA,._...'........__ ................._..'.........._.............._....:_.............._..""".._.'�"�'..........COUnfy, SS: / Be(ore me, the urtId^e,,rsigned, a Notary Pubfic in and for said pCounty and Slate, rhis ...................v.3��..........._._............... doy oJ .................YY 1....... . . . .........., A. D. 191ll..: Personally appeared the wirhin named...... .......- .--_--.--...... - . - �y /� ,,/ n ............_---------.........------.. ..�a�C�PJ---.JS/.....�..�L!1:.4:�`L.':�-1--lL_CL.t.c-L�.....!c!ii'VYY%.�.r�..}1Y,L .�L..'.` `....�i'..1. Q:�.---- .............-°°-------.............------ -. - ----....._........G�arttor.-------------........in rhe above conveyance, and ackww!- edged rhe same to be..... .... ...�-d� volunrary acr and deed. for the uses and Purposes herein menrioned. -- - ---.......-- 1 have hereunto su6scribed my nanre a�y aff'iaed my�ofj�c�al se .,,�,� ��Q ; My Commission espires...7-.��..:Z.Z.......-- --- _..C�L�.'�{k�lj---'�.. r].«l��`�t....Norary Public �i0$C!`�ff ECARRocc-W4yN�Cqi�NT"� $TATE OF I;vo�etre,......_---------.......----------------......-----......------------------------��-�-------.........-----------...-°--..Courtn•. ss: Be(ore me, the undersigned, a Nomry Public in and Jor said Counry� and State. rhis-._ ................................_-_--......-_......_-----. day o}.---.--°---._...-- ..........................._.._.... A. D. 19.----...; Personally appeared rhe within named.......-----------.------..----.. .....................--...:..-°.........- ..................° - � - -- ...--........._- .... - ....... - ..................... -......-� - � -.....- -- � - - .. .......--........_- - . .................... �-- -......... - ......-- - - - ......Grantw- ..... �� - .....in the above conveyance, and acknow!- edged tht some ro be ................................volunrary act and deed, Jor rhe uses and purposes herein mentioned. ! have hereunto subsc�i6ed my nnme and af%iud my oj%cial staL My Commissron ezpires............ .......-- _._ ...... ......... - ._..... -......_ ......................._................Notary Pu67ic Page 3 c�H 3-9-78 JUL 5 1978 ,�.z�c> STATB OP INDIANA .............................'...._..............................................._....�.....................................................COIIttty, ss: BeJore me, !he undersigned, a Norary Public in and /or said County and State, this .................................................:.......... day oj-°--.......---------- ..............°----_--...._......� A. D. 19..--°-; Personally appeared tlu wirhin named....------.....----------.. __....- - - � - ..............i------- .............................. - .........Grantor_............°----.....in the above cortvtyance, and acknowl- edged the snme to be ......:.........................voluntary act and deed, for the uses and purposes hereln mentioned. //iave hereunro subsc�i6ed my name and a/fzred my ojJScia! seal. My Commission espircs ..:............... --�- ---° - -- � - ---� - - - ...................- -.................. -°-°-- °-----..........Norary Public STATEOF INDIANA�............"..._.._." ................._..........................'._'._.'__...................'..'._'.'._"""""'.""'."""COdqly, ss: BeJore me, the undersigned, a Norary Pu6lic in and /or said County and Starc, tiii.r .................................................................. day o1 -- .:.................................................... A. D. 19........: Pe�sonally appeared (he within mm�ed-°--............................°- .......---- - -' -- -.......... -� - -- -.... .............. ---- ••-�-� --................._� •- .._...................................Granror- ---- .....-- .in the a6ove conveyance, and acknow!- edged the same to 6e ................................voluntary acr and deed, jor �he uses and purposes herern mentiontd. l iwve hereunto su6scri6ed my name and aj%ised my o�cial seaf. My Commission espires ...................... . .................... . - � -- �� - - - - - -� - --- --.:.......Norary Public STATE OP INDIA.YA,_."..'..'..'....._._......_..._"'.'........"....' ............... ...._................._'._.'.""""__..COUnty, ss: Be/ore me, the undersigned, a Norary Pu6lic rn and }or said Counry and State, this ......................................................... day o/-------- .....................°.............-----.----..__, A. D. 19.....---; Personally appeared the withrn named-----.-°-.-._...-----.--- - ......_....... -°--° - ----......._..._.... - .. . . .................... .------° � - - ---........._......-- --- --� ----°-�--......---...----......._. - - - - .................°°-...................- - -°-....--°°--°-- ...--- .........Crnntor...................--- in the above conveyance, and acknowl- edged the same to be ................................volunrary act and deed, Jor the uses and pu�poses herein menrioned. ! have hereunto subscri6ed my na)ie and aQised my oBFcial seal. My Commission espires...-- -� .. .... ........... ..............-- �- - -�---- - ....._.......- - ° - - - - - -- -- - - .........Notary Public The unde�signeA, o�rner o� a morrgage and/or lien on dte (ond herein conveyed, hereby releases (rom said mortgage mtdjor lien saed com•e��ed fanA, mrd does herebv conseiu ro the pa�vnent oJ d�e considerntion rhereJor as directed in d�is trnns- ac�ion, this----�---.._._�.%:%_....._.day oJ.......�/V.�.....--� .................. 19.7U.. .L1.��..LH.fcL1.N..li�yt[C.t.✓,��....C/.�.,!�✓1�..._.........(Seal) __......_ .............. _..��_z.��:...7. Cc.cc�.� ' � . �_ � ` �.. _._ �,i.,..<•...f'. ... . (Se 1 - �„E 7," Wc.ap F.K�cai-,✓E YiG�'PRE'fivr--�T' Smre oJ-- ._.._�N12J�.N.t�..._ ................. ,.._.._ ... — . n �j y S_7 � co�,��,� o�. -._��sot,/. - .-.-.-..-.._. S�: � R. f $ 2 PrGE �; 1I'<ST. ;r .^--�--- , „"��+_ 4 I �p _.__" "—_' Personall)' npPenred 6efore me.�tf.�..PA.�.K�..1.Y.C:�i:�.oNL��....�.J. .A..KI�.._.P�..�...f"M.t.K.�_..r`�.0.4. .D_.T..1 r�-- �X �V.lJ✓C....�G.�...�RC���( .P_ECf�.--...nbave nameA anA d�dy acknoN�ledged rhe exec��rion of rhe above release �he.____.._...._. �rN......day o(...__..__�1.U�✓�- -- - - -• /9.7U. - Wirness my hand and o(�icia! seal. _ � . (Seal) � .............(Seal) c My Commission e.rpires.....�'" z�_.Z- �' .................. JUL 5 t3�8 7�',.v�-r�-�� W Z 0 Q � O . � � �. a �F O " � �' W O pG Q � Q � H 4 � � O a . � : � , . , ' ; � ` �`�i . . C o; � 0 � � a E � O G C � C � 4 2 Y O O m e � � 0 U a _ o-d.e-F'��.. `°.... ��CLY�i.s-�"Y........ / - Y-- 1 / tiota PubJic A NC ��Nr V-.SCPNC�AR�OLh—W Y . Y � e � U : � . U v � � e a 0 °..,` U L s e k e � � 2 ' o � •3 � � e v I C O C •N °— �E �u° V � Q Q C S �_ o m � � r •N N 'j O � O � C ,-.;�� � ; ADVERS� YOSSESSION AFFIDAVIT State of Indiana County of Gibson � :� Project ST �126 (A� Parcel # 10 Leo T Tislow , of said County and State , being duly sworn upon his oath , says that he is over 21 years o£ age, That Leo Tislox and Margaret Tislow acquired title to the following described real estzt� in Gibson County , Indiana to uit: " A part of the north half of Militia Donation l�,townsnip 1 north,range 10 westlying immediately west of lots 4,5;6,'],8 and 9 in Brown's First addition to the Town of Hazle�on and bounded on the south and rrest by Robb Creek , on the r.orth by Arkansas St. and extendzn� from Bror+n's First Addition to Brown's Second Addition to the Town of Hazleton and crossin€ said Robb Creek on an iron bridge , and containing £our acres , more or less: by Warranty Deed dated August 24 1959 and recorded in the of£ice of Recorder of said Count�; on Sept 14 1959 in Deed Record 153 , Page 342 That Leo Tislow and Maggaret Tislow went into possession of the above described real estate on August 24 1959 immediat=ly upon its acquisition and occupied the sare:that from and after said occuoancy they have been in actual , visible , open , hostile , continuous , notorious , peaceable , exclusive , and adverse possessio❑ of said real estate to the daie of this affidavit , under a claim of right by virtue or said deed, exercising every act of dominion and proprietorship ; that their title thereto has never been questioned ; that throughout said period o£ time they have paid all taxes levied and imposed upon said real estate except those which may te currently due. That this affidavit is made to clari£y ownership of any of the land described above which lies south of State Road j6 Affiant further states that N�argaret Tislo� died on or about December 29 19']2 Signed �� , Subscribed and sworn to before me a C;otary Public this 5� day of t•tarch , 19�3 / Diy commission expires on 7-25 19 79 ,��"e'�h� �(O� / t � � � ��7 ' � 3�c�ep'tr^-c�rrvr'� This instrument prepared b D-Q-z-/4�t � ��"-`-`I �N�1yN�_ CcdN�Ty J eoh E Carroll � �F �,�1 y�.-�.-.� -._•+ ��y . .;y,+.y F s t. �� . S£• �, ar � .- S��;T-. �.r� A'� f?+c-f�+it�y4� j:' ta �9 a t Li �t.N?�; � rF� 1.:[Y `r..; rt J<Y' ,. �'.��3.- -a �. �` i+t�;,. .� ,Kl•�! f-✓ i'h: { . . „�� ' _ L F� F !a /. l t�J' � ��l p�n�\ � . .c .� �t i''l i�.• �; ... . �v -S�C t .�, f: . �. aY �f.t �L°,`�.�. �.. � �p�'1- 1- ;:^ ':�.y' t .-� `��.- � �� 1._ V+• • t+ti'2`1`^� 'e+'!"'�� a�'. ; � � �.- ... .�, -. � ., ��. �.p . + .. 1_.. ,� . `r - `1., j,. .�. - ' ' � t. y , _ � V� ` �f _ �I.h��\�i Yr/i +.Y .4 1 sY...4' .h1 ` i\i'�Y•�.�` ZY �.' � .. ' � .. a"' y: .. r Y :/ � � . .` . _ . . a • _ . • � . • � ✓'�! ..-' . . .• � •�4i•all�„fpyy�e�M.`w:�l'i��ayi•Lti�-�vb�-.�.::._ �...1�.... ..�..:... -� ..vi � �.,1 �1 _ . _ _ . _ . - .. ' .i-. .a� � �� .�.�. � ..� L ..��.o'Y'.� . � ... � 1'������. , . _ ^ � �. . . .. � ' ' ' , f. - -„--� • • %--�. A1 � � State of Lodfa� ) ) SS County of GIBSOIJ ) Projec't Parcel Road . A F F I D A V I T ST .�+26�A� —�--- � ��_ _ I, LEO T TTS �Y! —� the underaigned affiant, being duly sworn upon my oath, hereby swear and affirm that I have been known ae and that I am one and the smme person as LEO TISIA'�1 Further affiant sayeth not. �, �''�, 2% `��.'�l/.��� (Affiant's Signature) Leo T Tislow Subecribed and svorn to before me this � day of %�� 19 T�. � � ���� (Notary Public) Joseph E Carroll �n/AyNE �OUN�� -7 / n My co�isaion expirea on /—zJ 19 �/ . • Thia instrument vas prepared b -�. ` l�, 2fGy-d"�(� Joseph E Carroll 4-- , . _ r � '� �•, a r •� (�. ° � « � `c�-lr . j� r ♦ f r a �'x`"'f � - .a c � '� - � :�. . �. � `� y � s "v 4«--+�yt tt !'r-�. -*;y,-ea�.e. 7 sR t.! , '`+,��"� .��: . • �. .�_ V i� .: ti �✓t`.� �i. w -- '�.L�. ��i.�r s �' _ �_.T1'� e.e�� ,M;S'- "/'v�.. . -� "�.:�A _xxk .f -�r� -. F,.wiM�'+.A';l�^s+t� .•�PYP� �; `� �"r'y. �. �n- i �"ti-:�-�.�'�..;,�/``'°.-�� .`-' � ...ti.� r'4� i:.r. .4. �q_;y '` :'s"�r��,.�i r y,... r r �I��4 :t?: ..� . _ { ~i' '1 .t��Y�.i_ •.�. 1 �r- .. i +v� 'y � _ �.� f, ' � ��'�' . ": _-y+ .L i. . . ' - • � ~� ' • " . � . . . ti� v xa.rv ,.�.iJ:.�a.. . : ' .... ...�'.'• ..^._- ,� i_ . "' n. "x; �...�...v..._...v-�••�.:.�'.^^-.-"yi"Y'. .�s' .l__l _^ y�u.y��f�i�_.a�ev_.se�_ ...............�..0 ... . : �. �` Iti"....;�" - _ "" _ �•� , �}.� r� . � �-,�F'Lht� � ' • � ���� " .a- F°-1 ?!. .:G'_ - - t.��i.i.r:'- ' . _ , �-_ _. } . n� �h { v. �`� AFF /k3 . � n, O � ' �J �� S t e t e o f I n d i a n a) Project ST ��� (a Z_ ) SS Parcel t! % County of GIBSOY � Road SR 56 A F F I D A V I T I, i.Rn T TTST��•� ,[he undersigned affiant, being duly svorn upon my oath, hereby say [hat I kneW in��e'� (her) life- time a person named r•,nxcti�,-� Tisi,o�� and i further say that said person has been knovn as and is one and the same person as PSARY NARGARET TISI,L'W Further affiant sayeth not. � �� �`/ ';�1'� V ( ffiant's Signature) Leo T Tislow Subscribed and svorn to before me [his� day of �E/3 19� � - �.R � 2�`i./c-� (Notary Public) �' " Joseph E Carroll yvfaYt� E(o�N � i My co�ission expires on 7�— ZJ 19� . 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