UCC-1

MD DEPT. OF ASSESSMENTS & TAXATION

----------
UCC FINANCING STATEMENT

10 Pg

$75.00

$0.00

$75.00
10/5/2018

3:35 PM

26211554
NS

----------
FOLLOW INSTRUCTIONS
A. NAME & PHONE OF CONTACT AT FILER (optional)
Na' Zira LaShaun Mooreese-EI©
B. E-MAIL CONTACT AT FILER (optional)

181005-1535000

Records Access:
C. SEND ACKNOWLEDGMENT TO: (Name and Address)

Debtor Count:

Filing Fees:
Page Count:
Na' Zira LaShaun Mooreese-EI©TM

Electronic

Order ID#
C/o 19710 North West 11th Avenue

Total:
Date:

Time
Miami, FL 33169
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
1. DEBTOR'S NAME: Provide only one Debtor name (1a or 1b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name); if any part of the Individual Debtor’s
name will not fit in line 1b, leave all of item 1 blank, check here and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad)

1a. ORGANIZATION'S NAME

UNITED STATES
OR
1b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

1c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

1600 PENNSYLVANIA AVE. NW WASHINGTON DC 20500 US

2. DEBTOR'S NAME: Provide only one Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name); if any part of the Individual Debtor’s
name will not fit in line 2b, leave all of item 2 blank, check here and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad)

2a. ORGANIZATION'S NAME

STATE OF FLORIDA
OR
2b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

2c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

400 S. MONROE ST. TALLAHASSEE FL 32399 US

3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b)
3a. ORGANIZATION'S NAME

OR
3b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

Mooreese Na' Zira LaShaun El

3c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

C/o 19710 North West 11th Avenue Miami FL 33169 US

4. COLLATERAL: This financing statement covers the following collateral:
The proper corresponding address for the secured party and all collateral are included in the
attachments. Please see attachments.

See attachment.

5. Check only if applicable and check only one box: Collateral is X held in a Trust (see UCC1Ad, item 17 and Instructions) being administered by a Decedent’s Personal Representative
6a. Check only if applicable and check only one box: 6b. Check only if applicable and check only one box:
Public-Finance Transaction Manufactured-Home Transaction X A Debtor is a Transmitting Utility Agricultural Lien X Non-UCC Filing

7. ALTERNATIVE DESIGNATION (if applicable): Lessee/Lessor Consignee/Consignor Seller/Buyer Bailee/Bailor Licensee/Licensor

8. OPTIONAL FILER REFERENCE DATA:

(Rev. 04/20/11)
 MD DEPT. OF ASSESSMENTS & TAXATION
UCC FINANCING STATEMENT ADDENDUM UCC-1Ad

----------

----------
NS

10 Pg

$75.00
10/5/2018

3:35 PM

$0.00

$75.00
26211554
FOLLOW INSTRUCTIONS

9. NAME OF FIRST DEBTOR: Same as line 1a or 1b on Financing Statement; if line 1b was left blank
because Individual Debtor name did not fit, check here

9a. ORGANIZATION'S NAME

UNITED STATES

181005-1535000

Records Access:
Debtor Count:
OR

Filing Fees:
9b. INDIVIDUAL'S SURNAME

Page Count:

Electronic

Order ID#
FIRST PERSONAL NAME

Total:
Date:

Time:
ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY

10. DEBTOR'S NAME: Provide (10a or 10b) only one additional Debtor name or Debtor name that did not fit in line 1b or 2b of the Financing Statement (Form UCC1) (use exact, full name;
do not omit, modify, or abbreviate any part of the Debtor’s name) and enter the mailing address in line 10c

10a. ORGANIZATION'S NAME

OR
10b. INDIVIDUAL'S SURNAME

INDIVIDUAL’S FIRST PERSONAL NAME

INDIVIDUAL’S ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

10c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

11. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (11a or 11b)
11a. ORGANIZATION'S NAME

OR
11b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

11c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

12. ADDITIONAL SPACE FOR ITEM 4 (Collateral):

13. This FINANCING STATEMENT is to be filed [for record] (or recorded) in the 14. This FINANCING STATEMENT:
REAL ESTATE RECORDS (if applicable)
covers timber to be cut covers as-extracted collateral X is filed as a fixture filing
15. Name and address of a RECORD OWNER of real estate described in item 16 16. Description of real estate:
(if Debtor does not have a record interest):

17. MISCELLANEOUS:

(Rev. 04/20/11)
UCC FINANCING STATEMENT
FOLLOW INSTRUCTIONS

A. NAME & PHONE OF CONTACT AT FILER (optional)

B . E-MAIL CONTACT AT FILER (opti onal )

C. SEND ACKNOWLEDGMENT TO : (Name and Address)

j Na' Zira LaShaun Mooreese-EI©TM I

C/o 19710 North West 11th Avenue; Miami, Florida State,
near [33169] Zip exempt/ Nonresident/ Non-Domestic/
Republic; Without the U.S. by order of lex domicilii
L(AI Moroc/ Arnexem/ Washitaw Territory & Empire) _j
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY

1. DEBTOR'S NAME: Provide only QM Debtor name (1a or 1b) (use exact, full name: do not omit, modify, or abbreviate any part of the Debtors name): if any part of the Individual Debtor's
name will not fit in line 1b,leave all of item 1 blank, check here D and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad)

1a. ORGANIZATION'S NAME

UNITED STATES
OR
1b. INDIVIDUAL'S SURNAME . FIRST PERSONAL NAME ADDITIONAL NAME(S)IINITIAL(S) SUFFI X

1c. MAILING ADDRESS CITY STATE rOSTAL CODE COUNTRY

1600 PENNSYLVANIA AVE. NW WASHINGTON DC 20500 us

2. DEBTOR'S NAME: Provide only QM Debtor name (2a or 2b) (use exact, full name: do not omit, modify, or abbreviate any part of the Debtor's name): if any part of the Individual Debtors
name will not fit in line 2b, leave all of item 2 blank, check here D
and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad)

2a. ORGANIZATION'S NAME

STATE OF FLORIDA
OR
2b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)IINITIAL(S) SUFFIX

2c. MAILING ADDRESS CITY STATE IPOSTAL CODE COUNTRY

400 S. MONROE ST. TALLAHASSEE FL 32399 us

3 SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY)· Provide only 2M Secured Party name (3a or 3b)
3a. ORGANIZATION'S NAME

OR
3b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)IINITIAL(S) SUFFI X

Moo reese Na' Zira LaShaun El

3c. MAILING ADDRESS

C/o 19710 North West 11th Avenue

CITY

Miami
STATE

Fl
I[33169]
POSTAL CODE COUNTRY

uSA
4. COLLATERAL: Thts financtng statement covers the followtng collateral :
As pursuant to the bonds 'NOTICE OF SURETY ACT & BOND No. 7018 0680 0001 9950 2888 Lawful Consideration of 22
Troy Ounces of .999 Silver Bullion' and 'NOTICE OF SURETY ACT & BOND No. 7018 0680 0001 9950 2871 Lawful
Consideration of 2 Troy Ounces of .999 Silver Bullion'; sent to the above debtors through the Secretary of Treasury of the
United States Department of the Treasury, and the Florida State Attorney General; under certified mail return receipt, the
unalienable rights, interests and titles to all of the bonds' contents are hereby conveyed to the secured party under UCC
9-311;' as pursuant to United States Statutes at Large: I Stat. 246-251,8 Stat. 484-487,48 Stat. 112,49 Stat. 3097,59 Stat.
1033-1218, Articles 55a-c and 56 as it relates to UN Universal Declaration of Hnman Rights, and the UN Declaration on the
Rights of Indigenous Peoples in toto, et al declarations; 77 Stat. 630-775, 96 Stat.l074, 96 Stat.1211, and 31 USC 5118;
sections 2 (b) and d (2). Debtors hereby transfer all rights, interests and titles of real and personal property to secured party
and beneficiary for lawful acquistion and possession pursuant to federal statutory law as secured by UCC 9-311 and 8-202;
i.e. Article 6 of the Constitution for the united States of America. SEE ALL ATTACHMENTS FOR SUPPORTING
DOCUMENTATION AND DEBT VALIDATION.

5 . Check llJlli if applicable and check llJlli one box: Collateral is held in a Trust (see UCC1Ad, item 17 and Instructions) being administered by a Decedent' s Personal Representative
6a. Check Q!lli ~ applicable and check llJlli one box: 6b. Check llJlli if applicable and check llJlli one box:
D Public-Finance Transaction !l( A Debtor is a Transmitting Utility 0 Agricultural Lien [ i ]Non-UCC Filing

0 Seller/Buyer D Bailee/Bailor 0 Licensee/Licensor

L r£n,M. A.R.R. UCC 1-103,1-308, 9-311; et ai-W/o Prejudice

International Association of Commercial Administrators CIACA\
UCC FINANCING STATEMENT ADDENDUM
FOLLOW INSTRUCTIONS

9. NAME OF FIRST DEBTOR: Same as line Ia or lb on Financing Statement; if line lb was left blank
because Individual Debtor name did not fit, check here 0
9a. ORGANIZATION'S NAME

UNITED STATES

OR 9b. INDIVIDUAL'S SURNAME

FIRST PERSONAL NAME

ADDITIONAL NAME(S)/INITIAL(S) [SUFFIX

THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY

1 D. DEBTOR'S NAME: Prov1de (lOa or I Ob) only one add1t1onal Debtor name or Debtor name that d1d not fit 1n line lb or 2b of the F1nancmg Statement (Fonm UCC1) (use exact. full name;
do not om it, modify, or abbreviate any part of the Debtor's name) and enter the mailing address in line 10c

lOa. ORGANIZATION'S NAME

OR
lOb. INDIVIDUAL'S SURNAME

INDIVIDUAL'S FIRST PERSONAL NAME

INDIVIDUAL'S ADDITIONAL NAME(S)~NITIAL ( S) SUFFIX

10c. MAILING ADDRESS 'STATE lPOSTALCODE COUNTRY

I CITY

11. 0 ADDITIONAL SECURED PARTY'S NAME Q[ 0 ASSIGNOR SECURED PARTY'S NAME: Provide only 2M name (I Ia or 1 I b)
I I a. ORGANIZATION'S NAME

OR FIRST PERSONAL NAME ADDITIONAL NAME(S)nNITIAL(S)

I 1b. INDIVIDUAL'S SURNAME SUFFIX

11c. MAILINGADDRESS CITY STATE IPOSTALCODE COUNTRY

12. ADDITIONAL SPACE FOR ITEM 4 (Collateral) :

Other trust documents; see: UN Indigenous Peoples Organization No. 215/93 re: Empire Washitaw mounds; the US Dept. of
Justice- Classified Truth-A-1 Freehold By Inheritance Library of Congress Diplomatic Immunity Registration No.
AA222141 re: CM. Bey and pyramids; the Torrens Registry System- Book 521, Page 579, Doc. No. 10105905 re: Noble Drew
Ali and MilK Chapt. 47; the Holy Qur'an- Surah 22, Ayat 65; the Holy Bible- Proverbs 22:28, Deuteronomy 19:14,
Deuteronomy 27:17, Proverbs 23:10,Hosea 5:10,Isaiah 40:8 and Matthew 5:17-18; 'The Book of Blood & Deeds &
Consecrated Talisman ... '- US Dept of State Library; Call No. BP232 U73 2004 re: Prince Angelus Uriel Bei and the Bourne
Stone.
13. 1J21 This FINANCING STATEMENT is to be filed [for record] (or neccrded) in the 14. This FINANCING STATEMENT:
REAL ESTATE RECORDS (if applicable) 0 covers timber to be cut 0 covers as-extracted collateral ll2J is filed as a fixture filing
15. Name and address of a RECORD OWNER of real estate described in item 16 16. Description of real estate:
(if Debtor does not have a record interest):

Records of Noble Drew Ali, Public Trustee of Record: Meets and Bounds of the Real Estate- Please see UCC-1, box No. 12,
The Cook County Recorder of Deeds Office, 118 N. coUateral for a fuU description of the real estate, as held within the
Clark Street Room 120, Chicago, Illinois 60602 meets and bounds of the estate described within the public trust
documents in box No. 12 above.

17. MISCELLANEOUS:

International Association of Commercial Administrators IIACA\

FILING OFFICE COPY- UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11)
Cover letter for the Documents of Na'Zira LaShaun Mooreese-El
A Moorish-American National of AI Moroccan Empire
TO ALL, I certify that I have submitted the following documents to be recorded in the Pulaski
County Circuit Court Real Estate office of records.

Included documents:
1. Judicial Notice and Proclamation of Nationality
2. Affidavit of Allodial Permit
3. Notice of Autochthonous Status
4. Scientific Dissenting Opinion in support of Na'Zira LaShaun Mooreese -EI for-status
correction
5. Notice of Surety Act and Bond No 7018 0680 0001 9950 2871
6. Notice of Surety Act and Bond No 7018 0680 0001 9950 2888
7. Affidavit of Contract
8. United States Postal Service Receipt(s) Evidence
Instrument# 2018060240 Page 61 of 76

Classified Truth A-1 Freehold by Inheritance Diplomatic Immunity Registration No. AA222141
AS RKGISI'I!Kiill WITH THI! LIBRARY 01' CONGR!iSS AND THI! U.S. Dl!l'AR:.IMI!NT 01' JUS"f.ICI! IN WASHINGTON, D.C.: UNITI!D Sl"ATI!S Rt:l'UllLIC m· NORTH AMERICA

From: Na' Zira LaShaun Mooreese-El©TM

C/o 19710 North West 11th Avenue
Miami, Florida State, near [33169]
Zip exempt/ Nonresident/ Non-Domestic/ Republic;
Without the U.S. by order of lex domicilii
(AI Moroc/ Amexem/ Washitaw Territory & Empire)

To: State of Florida Attorney General's Office:

Pamela Jo Bondi, or holder of the seat,
The Capital PL-01
Tallahassee, FL [32399];
via Certified Mail No.: 7018 0680 0001 9950 2871
with return receipt

County of _ _ _ __ )
)
(Florida State Republic) ) Asseveration
)
united States of America )

Na' Zira LaShaun Mooreese-El©TM

Only in capacity as beneficiary to the De Jure Original Jurisdiction of Sovereign, Aboriginal
Indigenous Native American Muurs/Moors of the Americas; specifically in North America and in the
matter of Na' Zira LaShaun Mooreese-El©TM, in the 50 Organic Continental united States, and the
Original Jurisdiction of the De Jure Common Law, united States of America Republic. All International
Laws and Treaty Laws for Aboriginal Indigenous Muurs/Moors are to be upheld by all united States
Constitution oath bound public officials, and all State and Federal colorable laws, codes, statutes,
ordinances, regulations and customs are hereby superseded as pursuant to the Constitution for the united
States of America, Article 6; i.e. the "Supreme law ofthe Land."

NOTICE OF SURETY ACT & BOND No. 7018 0680 0001 9950 2871
Lawful Consideration of 2 Troy Ounces of .999 Silver Bullion

Re: the bonding of Na' Zira LaShaun Mooreese-El©TM, the Creditor, General Executor, holder
in due course of this bond and real party in interest over ens legis, 14!1! Amendment U.S. citizen
"person" corporation known as MARJORIE LASHAUN SMITH©™, and all real, personal and
intangible property, goods, accounts, chattel papers (Birth Certificate(s), Social Security Card(s),
Drivers License(s), State I.D.(s), etc.), claims, cases, citations, Bonds, Notes, Drafts, Bills of Exchange,
Documents of Title, et al documents, Public Records, instruments, commercial instruments and all other
papers, tangible and intangible assets or liabilities attached thereto MARJORIE LASHAUN SMITif9™,
NA' ZIRA LASHAUN MOOREESE-EL©TM' Na' Zira LaShaun Mooreese-El©™ and any and all
possible combinations of appellations contained herein. All law is contract, and the precepts of truth,
offer, acceptance, agreement and consideration are inherent to all lawful contracts. "Le contrat fait
la loi. The Contract makes the law."- Bouvier's Dictionary of Law, 1856. All corporate States and
PUBLIC NOTICE AND SURETY BOND- Page 1 of 6
cc: The Florida State Attorney General as the Fiduciary of this said Bond, is to give notice to the United States Secretary of the Treasury as
Trn~t-to.o. nf" t'h.o. TTn;f~ fii:tratOL"' e"Jond Cn r'n....-nn..... to Ci:fqfa~' 'R ... w.t,-.,...•nt"""t;a"'\ ~J.n r:he"Joll fnruJOJord 011 ~.n.wnr tn tlt..o. n;rgpfnr nf tho M;nf
~Instrument# 2018060240 Page 67 of 76
I
!

Classified Truth A-1 Freehold by Inheritance Diplomatic Immunity Registration No. AA222141
AS REGL.~'TI!KIID Wl'TH 'THE LWRARY OF CONGRI!SS AND 'THE U.S. D.t:PAR:fMENT OJ! JUS'flCJ; lN WASHlNG'TON, D.C.: UNll'W Sl"Al'ES REl'UJILlC m· NOR'THA!\IERICA

From: Na' Zira LaShaun Mooreese-El©™

C/o 19710 North West 11th Avenue
Miami, Florida State, near [33169]
Zip exempt/ Nonresident/ Non-Domestic/ Republic;
Without the U.S. by order of lex domicilii
(AI Moroc/ Amexem/ Washitaw Territory & Empire)

To: Secretary of the Treasury of the

U.S. Department of the Treasury, Steven T. Mnuchin;
or holder of the seat, hereinafter fiduciary
1500 Pennsylvania Ave. NW
Washington, D.C. 20220;
via Certified Mail No.: 7018 0680 0001 9950 2888
with return receipt

County of _ _ _ __ )
)
(Florida State Republic) ) Asseveration
)
united States of America )

Na' Zira LaShaun Mooreese-El©TM

Only in capacity as beneficiary to the De Jure Original Jurisdiction of Sovereign, Aboriginal
Indigenous Native American Muurs/Moors of the Americas; specifically in North America and in the
matter of Na' Zira LaShaun Mooreese-El©™, in the 50 Organic Continental united States, and the
Original Jurisdiction of the De Jure Common Law, united States of America Republic. All International
Laws and Treaty Laws for Aboriginal Indigenous Muurs/Moors are to be upheld by all united States
Constitution oath bound public officials, and all State and Federal colorable laws, codes, statutes,
ordinances, regulations and customs are hereby superseded as pursuant to the Constitution for the united
States of America, Article 6; i.e. the "Supreme law o(the Land."

NOTICE OF SURETY ACT & BOND No. 7018 0680 0001 9950 2888
Lawful Consideration of 22 Troy Ounces of .999 Silver Bullion

Re: the bonding of Na' Zira LaShaun Mooreese-El©™, the Creditor, General Executor, holder
in due course of this bond and real party in interest over ens legis, 14lh Amendment U.S. citizen
"person" corporation known as MARJORIE LASHAUN SMITH©™, and all real, personal and
intangible property, goods, accounts, chattel papers (Birth Certificate(s), Social Security Card(s),
Drivers License(s), State I.D.(s), etc.), claims, cases, citations, Bonds, Notes, Drafts, Bills of Exchange,
Documents of Title, et al documents, Public Records, instruments, commercial instruments and all other
papers, tangible and intangible assets or liabilities attached thereto MARJORJE LASHAUN SMri'H©™,
NA' ZlRA LASHAUN MOOREESE-EL©™, Na' Zira LaShaun Mooreese-El©™ and any and all
possible combinations of appellations contained herein. All law is contract, and the precepts of truth,
offer, acceptance, agreement and consideration are inherent to all lawful contracts. "Le contrat fait
PUBLIC NOTICE AND SURETY BOND- Page 1 of 6 ,
cc: Secretary of the Treasury as the Fiduciary of this said Bond, and as Trustee of tbe United States
<>ntl 1:;0 C'nrnnr<>h• ~hat..c:' R!11nkrnntoPv(i,.c:\ c:h!1111 fnrurartiPtl "'oPnnv tn thP hiroPI'tnr nf thP Mint
Instrument# 2018060240 Page 73 of 76

rr;;\1
~
' From: Na' Zira LaShaun Mooreese-EI©™
C/o 19710 North West 11th Avenue
Miami, Florida State, near [33169]
Zip exempt/ Nonresident/Non-Domestic/ Republic;
Without the U.S. by order of lex domicilii
(AI Maroc/ Amexem/Washitaw Territory & Empire)

AFFIDAVIT OF CONTRACT
Notice to Principals is Notice to agents and Notice to agents is Notice to Principals
I am an adamant claimer of all my unalienable rights granted to me by the Most High Creatress/Creator,
known as Yehweh-Oludumare-Amen-Allap, All Rights Reserved.

I send greetings of peace and blessings to all elected and non-elected corporate United States public officials, officers,
agents and employees of Federal, State, County and Municipal Governments, and to the personnel of all Corporate
Entities; concerning the Constitution for the united States of America of 1787-1791; i.e. the Supreme Law of the Land,
and all Statutory and Civil Law Codes as pursuant thereto, etc. Know All Men by These Presents:

Upon my inherited Nobility, and upon iny Private Aboriginal/ Indigenous, Proper Person Status and Commercial
Liability l, Na' Zira LaShaun Mooreese-El©™, have sent through the United States Postal Service by registered mail to
the Florida Attorney Generai a NOTICE OF SURETY ACT & BOND No. 7018.0680 OOOi 9950 2871; certified mail
No. _7018 0680 00019950 2871, and to the Secretary of the Treasury of the United States Department of the Treasury, a
NOTICE OF SURETY ACT & BOND' No. 7018 0680 0001 9950 2888; certified mail No. 7018 0680 0001 9950 2888. ·
I have in my personal possession: A notarized copy of NOTICE OF SURETY ACT & BOND No. 7018 0680 0001
I. • •

9950 2871, and a notarized copy of NOTICE OF SURETY ACT & BOND No. 7018 0680 0001 9950 2888.

I attest that the Florida Attorney General and the Secretary of the Treasury of the United States Department of the
Treasury did accep(.tthe bonds that were sent to them by registered mail and they kept the lawful assets in accordance with
Federal SWuto7; w d Treaty Law. Thus, it is a lawful contract.

I am: ' / j()J~ ~r (_ .

Natural Person I In r pria- Authorized Representative; All Rights Reserved Free Muur/Moor; Northwest Africa I North America
All Rights Rese v without prejudice; UCC 1-103, 1-308, 9-311; et al
.
State of: f( 01 rd c )

County of: rOad e ) ss.

On this {)~ day of ~

tl L\. \ month, r year, before me, a Notary Public of the State of Florida, came a
woman personally kno~r who proved to me on the l:;lasis of satisfactory evidence) to be the woman whose
signature is subscribed hereon. The said woman solemnly affirmed under oath, that sh(! has. firsthand knowledge of the
facts contained herein this 'Affidavit of Contract' are true, correct and complete to the best of her knowledge,

und.erstanding~an-el~ ~. . A. ._!J-
S1gnatureBy:~ .~~
otary Act of 1850 ·

Notary:_--.J_r__:_f D_~_E-t---=dtt_----=·
--~--~-- Notary Public SEAL
. 05,ZDLl
Commission Expires: jo.J~~. County: TIQ..de .
 CJ
Ul Certified Mail Fee $7 n:::
IT' $ .Jo 't ·J
IT' Extra Services & Fees (check box, add fee
0 Re!um Racelpt (hardcopy) ' $ - .AU..L.a..!..t.U-
..-'l 0 Re!um Racelpt (electronic) $ -~h-IIJIJ-
CJ 0 Certified Mall Restricted DelivOfY $ { , EJt
CJ
CJ 0Adu~ Signature Requln>d S -tf.r.tt- _
0 Adu~ Signature Restricted DelivOfY $ - • tl
CJ Postage
r:Q $1.42
..n 07/ 30/2018
CJ

--~~~~================~~==~~~----
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