Preview
Filing # 101858956 E-Filed 01/17/2020 03:06:53 PM
IN THE CIRCUIT COURT OF THE 5"!
JUDICIAL CIRCUIT. IN) AND FOR
MARION COUNTY, FLORIDA
CIVIL DIVISION:
CASE NO.: 42-2019-CA-002605
BAYVIEW LOAN SERVICING, LLC
VS.
Plaintiff,
PATRICIA ANN GUNTER A/K/A PATRICIA
A. GUNTER. ef al.
Defendants.
MOTION FOR APPOINTMENT OF GUARDIAN AD LITEM, ATTORNEY AD LITEM,
AND/OR ADMINSTRATOR AD LITEM
Plaintiff. BAYVIEW LOAN SERVICING, LLC, by through its undersigned counsel, hereby
moves this Honorable Court for an Order Appointing a Guardian Ad Litem, Attorney Ad Litem, and/or
Administrator Ad Litem to represent the imterests of UNKNOWN HEIRS, BENEFICIARIES,
DEVISEES, ASSIGNEES, LIENORS, CREDITORS, TRUSTEES AND ALL OTHERS WHO MAY
CLAIM INTEREST IN THE ESTATE OF JACK GERARD GUNTER and UNKNOWN HEIRS,
BENEFICIARIES, DEVISEES, ASSIGNEES, LIENORS, CREDITORS, TRUSTEES AND ALL
OTHERS WHO MAY CLAIM INTEREST IN THE ESTATE OF WILLIAM W. RAYNER, and in
support thereof, states as follows:
we
This is an action to foreclose a mortgage on real property located in MARION County, Florida.
Plaintiff was informed that defendant JACK GERARD GUNTER and WILLIAM WRIGHT
RAYNER passed away on or about March 27, 2007 and October 12, 2003 respectively.
UNKNOWN HEIRS, BENEFICIARIES, DEVISEES, ASSIGNEES, LIENORS,
CREDITORS, TRUSTEES AND ALL OTHERS WHO MAY CLAIM INTEREST IN THE
ESTATE OF JACK GERARD GUNTER and UNKNOWN HEIRS, BENEFICIARIES,
DEVISEES, ASSIGNEES, LIENORS, CREDITORS, TRUSTEES AND ALL OTHERS
WHO MAY CLAIM INTEREST IN THE ESTATE OF WILLIAM W. RAYNER may need
to be joined as Defendants in this foreclosure action due to a possible interest in the subject property.
As a foreclosure case is an equity proceeding, the appointment of a Guardian Ad Litem, Attorney
ElectrOMdalie Pret iatot Galeistrasendebiax sybbsole eds PM
19-03476-F3 The unknown parties may be minors, incapacitated, or in the United States Military. and therefore
entitled to the protections of a Guardian Ad Litem. Attorney Ad Litem. and/or Administrator Ad
Litem.
WHEREFORE, Plaintiff prays that an order be entered Appointing a Guardian Ad Litem. Attorney
Ad Litem, and/or Administrator Ad Litem to represent UNKNOWN HEIRS, BENEFICIARIES,
DEVISEES, ASSIGNEES, LIENORS, CREDITORS, TRUSTEES AND ALL OTHERS WHO MAY
CLAIM INTEREST IN THE ESTATE OF JACK GERARD GUNTER and UNKNOWN HEIRS,
BENEFICIARIES, DEVISEES, ASSIGNEES, LIENORS, CREDITORS, TRUSTEES AND ALL
OTHERS WHO MAY CLAIM INTEREST IN THE ESTATE OF WILLIAM W. RAYNER.
CERTIFICATE OF SERVICE
THEREBY CERTIFY that a true and correct copy of the foregoing was served by Electronic Mail
pursuant to Rule 2.516. Fla. R. Jud. Admin. And /or by U.S. Mail to any other parties in accordance with
the attached service list this 17'" day of January 2020,
Orlando DeLuca, Esq.
DELUCA I
2101 NE 26" Street
Fort Lauderdale, FL 33303
Phone: (954) 368-1311 Fax: (954) 200-8649
19-03476-FSERVICE LIST
CASE Now: 42-2019-CA-002605
PATRICIA ANN GUNTER A’K/A PATRICIA A. GUNTER
15100 OTH PL
OCKLAWAHA, FL 32179
JACK GERARD GUNTER ~ DE
(GAL To be Appointed)
WILLIAM W. RAYNER - DECEASED
(GAL To be Appointed}
RHONDA D. RAYNER
W STH ST
SLLON, FL 34432
NIK/A MICHEL LE MAY
15100 SE 99TH PL.
OCKLAWAHA, FL 32179
UNKNOWN TENANT(S)
15100 SE 99TH PL
OCKLAWAHA, FL 32179
19-03476-Fe007? 039502
ites mun, Ost FLORIDA CERTIFICATE OF DEATH
1. DECEDENTS NAME (Firat, Afitome, Law, Sufttc? 3. SEX
Jack Gerrard Gunter Male
SDATE OF BIRTH fecam Gay. Yoo ia AGE Coan Boy i EBATE Or GATT Guan Gey, You?
December 7, 1959 ome gy ft me | March 27, 2007
SOCAL SEGIAATY muMBER FRRTWPGEE Tey aad Sie tr Foegn Counityy
*KK h-B73B Hollywood, Fiorida
mee Dnt an Emergency Roomy Sutpaterd
MON-HOSPITAL: _. Hoscioe Mectity _._.. Nunting Home/Long Term Care Factety
10. PACILITY NAME (0 20f matiution. grew aimed adeireas) i ka. CITY, TOWN, OR LOCATION OF DEATE Sib INSIDE CTFY LIMITS?
15100 SE 99th Place Ocktawaha yeu Kno
12, MARITAL STATUS (Spectyy 13. SURVIVING SPOUSES NAME eae give maiden matea
Patricia Manger
4b. COUNTY ite. CITY, TOWN, OF LOCATION
Florida Marion Ockiawaha
Tad, STREET MOORESE TSC APT NO. [Tat Tp COE
15100 SE 99th Place 32179
Se. DECEDENTS USUAL OCCUPATION {indicate type OF work deine Guriig hnal OF working ae.7 150. KIND OF BUSINESS/INOUSTRY
Truck Driver Towing
1S. GECROENTS RAGE oncty the raomtacns ts Deteinte wie! Goceder Cn aared tata NeraaT fo Be ws Bat Bh en Ply BE Sowa)
Kh wrete, a Back oF Atria American — Ammertenn Indian oF Aissian Native (Soeory ines
ee Asi ec ee Chin AMIN ae Lape
ne Naat —— & oo
7 DactoeNT
‘OF HisbaNiC Oa MARTIAN ORIGIN?
(Specty # cooedert was of Magenk of Metben Gripia
a 18 DECEDENT'S EDUCATION (Spectly ha cncecsers highest Gages Or level of Schoo Comphated af bene Of aeeih >
ae Bit or tess nam High sence a no digkame A. High school aipiome or GEO
am Comege But RO cogron Conege degree {Soecty) i AeeStE mae Site # me Mastes's a Goctorate
bg 20. FATHER'S MAME (First Minto, Lest, Sul) ‘21. MOTHER'S MAME (Fiew, Misia. Maxson Surmame)
Clarence Otis Gunter Marie Willis
223. RELATIONSHIP TO OECEDENT TSA, INFORMANTS MAILING - STATE.
Wife Florida
c [isa Bi Cooe
East Lake Weir LO. 32133
‘Sb, COCATION - EHYY 08 TOWN
Florida Cremation is Ocala
"SERVICE UIGENSEE OA PERSON ACEDNG Az BUCH
Was FAGLETVS MABLING - STATE
Florida
708 S.W, 2nd Avenue
‘the be, data rat place, ont ue to She caveats) rd manner wate,
ib, BATE 32. TE OF DEATH 20 a7)
3] 2.8. Te} 1240
is Fiabe OF ATTENDING PVBICAN (0 cites thax Cartier}
Dantulurt Raju, M.D.
eG Oa Town [Ses STREET ADORESS. 36a. 2 CODE
Ocala 2840 SE ard Court 34474
_ > tater Cy) MAR eS aT
The first five digits of the decedent's Social Security Number has been redacted pursuant to §119. .071{5), Florida Statutes.
(Pper___ State Registrar Date Issued: January 10, 2020
REQ: 2021186877LOCAL FILE NOL Rest
Te aa
evoke
wn Pa
BUREAU of VITAL STATISTICS
oe
283294
CERTIFICATEOF DEATH 0 3 |
FLORIDA
1. DECEDENT'S NAME ARST MADOLE LAST 2. SEX
William Wright Rayner Male
‘3 GATE GF DEATH (Manin, Day Year) ‘2 SOCIAL SECUMITY RUMBER ta Agesee Wirewiay [$8 UNDER T YEAR| Se UNDER? Day
October 12, 2003 KK *K-7965 fe" BO | Mere Baw tees 7 ies
& SATE GF BIRTH (Aon Day Year)
November 28, 1922
BIRTHPLACE (Cay and Stace or Foreign Country)
Murfreesboro, North Carolina
WAS DECEDENT EVER NUS
ARYED FORCEST (0s ty
98 PLACE OF DEATH (Check aniy one: see insiruchows on omer site)
‘Se INSIDE CITY CATS? (ies oA
X. pstect _. EROvpatent GA QnueR _..Numing Home Residence Other (Speci Yes
3c, FACIUTY NAME (1 not instarion, give street and number, ‘xb CITY, TOWN, OR LOGATION GF DEATH 96. COUNTY OF OEATH
Ocala Regional Medical Center Ocala Marion
Ga DECEDENT'S USUAL GECUPATION
The. KIND OF BUSINESS NOUSTAY
TT MARITAL STATUS ~ Maced,
12, SURVIVING SPOUSE (If wile, gis maiaen arte)
Newer Mariog, Wicowod,
‘Devorsed (Specityy
Millwright Paper Married Rhonda Britt
‘ida RESIDENCE ~ STATE | iam. COUNTY 330. CITY, TOWN, OF LOCATION 13d STREET AND NUMBER:
Florida Marion Ocala 2 Cedar Trace Terrace
‘13e. INSIOE CITY 138. BP CODE 14. WAS DECEOENT OF HISPANIC OF HAITIAN ORIGIN? 18 RACE ~ American indian, [16 DECEOENT'S EOUCATION
LAMITS 2 te or Net Raat ae ny tren Cola ‘Black, White, wt, only highest grade completed
Mencan. Puerta ican, 9ic) No Yee Speoty es Golege (1-4 ar So)
No 34472 Soncity White om &
‘17, FATHER'S NAME (Fist Midis, Last 18 MOTHER'S NAME (Fini, Mictaie Maicien Sumanve)
Julian Rayner Julia Milds
fe INFORMANTS HAME | Typed 18u MAILING ADORESS (Siewert and Nuinber o Fuse! Route Nunimer, Cay or Town, State. Zip Coos;
( Rhonda Rayner 2 Cedar Trace Terrace, Ocala, Florida 34472
208. METHOD OF DISPOSITION 200 PLAGE OF DISPOSITION (Name of Cemetery, cremalory cr 206. LOCATION = City of Town, State:
KB tusis—__ creersen Remove tom Slate | MME HSH!
Ocklawaha Commmity Cemetery Ocklawaha, Florida
(216, NAME AND ADORESS OF FACIITY
Hiers-Belleview Funeral Home
5946 SE Robinson Road, Belleview, FL 34420
2B. UCENSE NUMBER
fof Uownsee)
4171
10 the Comet) a8 sated,
{Signsture and Tite)»
sna bout of my knowedge. casth cocuted af he Une, dala and place ANd due
2 BATE SIGNED (Ma, Gay 74
elle Mle Vii -i eke), 81-71.) 30m
‘Fic HOUR OF DEATH
ag Orbe eae marraige ele aaaatp oy omen aa ome
5 selaneture ana re) “Pee :
1) Stove SIGNED (Moy Bay ¥9 2 OF BEN
Sz October 13, 2003 8:13 P
iz
220 WANE OF AFTENOING PHYSICIAN IF OTHER THAN CERTIFIER (Type oF Pah
M
35 Zig WEGCAL ExaMinens cage @
8303-05 -0098.2.
{24- NAME AND ADORESS OF CERTIFIER (PHYSICIAN, MEDICAL EXAMINER) (yee orm Patricia J. Moore, D.
District 5 Medical Examiner Department, 809 Pine Street, Leesbur,
0.
B, Fl. 34748
25: SUBAEGISTAAR ~ SIGNATURE AND DATE
.
[i Toca Rees
1 Khwge.
RAR, 250. OATE REGISTERED.
fi
laf
WARNING:
THERMOCH
The first five digits of the decedent's Social Security Number has been redacted pursuant to SEEN, Florida Statutes.
THE ABOVE SIGNATURE CERTINES THAT TeHS
THIS DOCUMENT 1S PRI
MARKS. THE DOC
‘mn
.State Registrar Date Issued: January 10, 2020
REQ: 2021186863
iS
OW FORA! {946 (03.13)
AL UA
ae,
Preview
Filing # 101858956 E-Filed 01/17/2020 03:06:53 PM IN THE CIRCUIT COURT OF THE 5"! JUDICIAL CIRCUIT. IN) AND FOR MARION COUNTY, FLORIDA CIVIL DIVISION: CASE NO.: 42-2019-CA-002605 BAYVIEW LOAN SERVICING, LLC VS. Plaintiff, PATRICIA ANN GUNTER A/K/A PATRICIA A. GUNTER. ef al. Defendants. MOTION FOR APPOINTMENT OF GUARDIAN AD LITEM, ATTORNEY AD LITEM, AND/OR ADMINSTRATOR AD LITEM Plaintiff. BAYVIEW LOAN SERVICING, LLC, by through its undersigned counsel, hereby moves this Honorable Court for an Order Appointing a Guardian Ad Litem, Attorney Ad Litem, and/or Administrator Ad Litem to represent the imterests of UNKNOWN HEIRS, BENEFICIARIES, DEVISEES, ASSIGNEES, LIENORS, CREDITORS, TRUSTEES AND ALL OTHERS WHO MAY CLAIM INTEREST IN THE ESTATE OF JACK GERARD GUNTER and UNKNOWN HEIRS, BENEFICIARIES, DEVISEES, ASSIGNEES, LIENORS, CREDITORS, TRUSTEES AND ALL OTHERS WHO MAY CLAIM INTEREST IN THE ESTATE OF WILLIAM W. RAYNER, and in support thereof, states as follows: we This is an action to foreclose a mortgage on real property located in MARION County, Florida. Plaintiff was informed that defendant JACK GERARD GUNTER and WILLIAM WRIGHT RAYNER passed away on or about March 27, 2007 and October 12, 2003 respectively. UNKNOWN HEIRS, BENEFICIARIES, DEVISEES, ASSIGNEES, LIENORS, CREDITORS, TRUSTEES AND ALL OTHERS WHO MAY CLAIM INTEREST IN THE ESTATE OF JACK GERARD GUNTER and UNKNOWN HEIRS, BENEFICIARIES, DEVISEES, ASSIGNEES, LIENORS, CREDITORS, TRUSTEES AND ALL OTHERS WHO MAY CLAIM INTEREST IN THE ESTATE OF WILLIAM W. RAYNER may need to be joined as Defendants in this foreclosure action due to a possible interest in the subject property. As a foreclosure case is an equity proceeding, the appointment of a Guardian Ad Litem, Attorney ElectrOMdalie Pret iatot Galeistrasendebiax sybbsole eds PM 19-03476-F3 The unknown parties may be minors, incapacitated, or in the United States Military. and therefore entitled to the protections of a Guardian Ad Litem. Attorney Ad Litem. and/or Administrator Ad Litem. WHEREFORE, Plaintiff prays that an order be entered Appointing a Guardian Ad Litem. Attorney Ad Litem, and/or Administrator Ad Litem to represent UNKNOWN HEIRS, BENEFICIARIES, DEVISEES, ASSIGNEES, LIENORS, CREDITORS, TRUSTEES AND ALL OTHERS WHO MAY CLAIM INTEREST IN THE ESTATE OF JACK GERARD GUNTER and UNKNOWN HEIRS, BENEFICIARIES, DEVISEES, ASSIGNEES, LIENORS, CREDITORS, TRUSTEES AND ALL OTHERS WHO MAY CLAIM INTEREST IN THE ESTATE OF WILLIAM W. RAYNER. CERTIFICATE OF SERVICE THEREBY CERTIFY that a true and correct copy of the foregoing was served by Electronic Mail pursuant to Rule 2.516. Fla. R. Jud. Admin. And /or by U.S. Mail to any other parties in accordance with the attached service list this 17'" day of January 2020, Orlando DeLuca, Esq. DELUCA I 2101 NE 26" Street Fort Lauderdale, FL 33303 Phone: (954) 368-1311 Fax: (954) 200-8649 19-03476-FSERVICE LIST CASE Now: 42-2019-CA-002605 PATRICIA ANN GUNTER A’K/A PATRICIA A. GUNTER 15100 OTH PL OCKLAWAHA, FL 32179 JACK GERARD GUNTER ~ DE (GAL To be Appointed) WILLIAM W. RAYNER - DECEASED (GAL To be Appointed} RHONDA D. RAYNER W STH ST SLLON, FL 34432 NIK/A MICHEL LE MAY 15100 SE 99TH PL. OCKLAWAHA, FL 32179 UNKNOWN TENANT(S) 15100 SE 99TH PL OCKLAWAHA, FL 32179 19-03476-Fe007? 039502 ites mun, Ost FLORIDA CERTIFICATE OF DEATH 1. DECEDENTS NAME (Firat, Afitome, Law, Sufttc? 3. SEX Jack Gerrard Gunter Male SDATE OF BIRTH fecam Gay. Yoo ia AGE Coan Boy i EBATE Or GATT Guan Gey, You? December 7, 1959 ome gy ft me | March 27, 2007 SOCAL SEGIAATY muMBER FRRTWPGEE Tey aad Sie tr Foegn Counityy *KK h-B73B Hollywood, Fiorida mee Dnt an Emergency Roomy Sutpaterd MON-HOSPITAL: _. Hoscioe Mectity _._.. Nunting Home/Long Term Care Factety 10. PACILITY NAME (0 20f matiution. grew aimed adeireas) i ka. CITY, TOWN, OR LOCATION OF DEATE Sib INSIDE CTFY LIMITS? 15100 SE 99th Place Ocktawaha yeu Kno 12, MARITAL STATUS (Spectyy 13. SURVIVING SPOUSES NAME eae give maiden matea Patricia Manger 4b. COUNTY ite. CITY, TOWN, OF LOCATION Florida Marion Ockiawaha Tad, STREET MOORESE TSC APT NO. [Tat Tp COE 15100 SE 99th Place 32179 Se. DECEDENTS USUAL OCCUPATION {indicate type OF work deine Guriig hnal OF working ae.7 150. KIND OF BUSINESS/INOUSTRY Truck Driver Towing 1S. GECROENTS RAGE oncty the raomtacns ts Deteinte wie! Goceder Cn aared tata NeraaT fo Be ws Bat Bh en Ply BE Sowa) Kh wrete, a Back oF Atria American — Ammertenn Indian oF Aissian Native (Soeory ines ee Asi ec ee Chin AMIN ae Lape ne Naat —— & oo 7 DactoeNT ‘OF HisbaNiC Oa MARTIAN ORIGIN? (Specty # cooedert was of Magenk of Metben Gripia a 18 DECEDENT'S EDUCATION (Spectly ha cncecsers highest Gages Or level of Schoo Comphated af bene Of aeeih > ae Bit or tess nam High sence a no digkame A. High school aipiome or GEO am Comege But RO cogron Conege degree {Soecty) i AeeStE mae Site # me Mastes's a Goctorate bg 20. FATHER'S MAME (First Minto, Lest, Sul) ‘21. MOTHER'S MAME (Fiew, Misia. Maxson Surmame) Clarence Otis Gunter Marie Willis 223. RELATIONSHIP TO OECEDENT TSA, INFORMANTS MAILING - STATE. Wife Florida c [isa Bi Cooe East Lake Weir LO. 32133 ‘Sb, COCATION - EHYY 08 TOWN Florida Cremation is Ocala "SERVICE UIGENSEE OA PERSON ACEDNG Az BUCH Was FAGLETVS MABLING - STATE Florida 708 S.W, 2nd Avenue ‘the be, data rat place, ont ue to She caveats) rd manner wate, ib, BATE 32. TE OF DEATH 20 a7) 3] 2.8. Te} 1240 is Fiabe OF ATTENDING PVBICAN (0 cites thax Cartier} Dantulurt Raju, M.D. eG Oa Town [Ses STREET ADORESS. 36a. 2 CODE Ocala 2840 SE ard Court 34474 _ > tater Cy) MAR eS aT The first five digits of the decedent's Social Security Number has been redacted pursuant to §119. .071{5), Florida Statutes. (Pper___ State Registrar Date Issued: January 10, 2020 REQ: 2021186877LOCAL FILE NOL Rest Te aa evoke wn Pa BUREAU of VITAL STATISTICS oe 283294 CERTIFICATEOF DEATH 0 3 | FLORIDA 1. DECEDENT'S NAME ARST MADOLE LAST 2. SEX William Wright Rayner Male ‘3 GATE GF DEATH (Manin, Day Year) ‘2 SOCIAL SECUMITY RUMBER ta Agesee Wirewiay [$8 UNDER T YEAR| Se UNDER? Day October 12, 2003 KK *K-7965 fe" BO | Mere Baw tees 7 ies & SATE GF BIRTH (Aon Day Year) November 28, 1922 BIRTHPLACE (Cay and Stace or Foreign Country) Murfreesboro, North Carolina WAS DECEDENT EVER NUS ARYED FORCEST (0s ty 98 PLACE OF DEATH (Check aniy one: see insiruchows on omer site) ‘Se INSIDE CITY CATS? (ies oA X. pstect _. EROvpatent GA QnueR _..Numing Home Residence Other (Speci Yes 3c, FACIUTY NAME (1 not instarion, give street and number, ‘xb CITY, TOWN, OR LOGATION GF DEATH 96. COUNTY OF OEATH Ocala Regional Medical Center Ocala Marion Ga DECEDENT'S USUAL GECUPATION The. KIND OF BUSINESS NOUSTAY TT MARITAL STATUS ~ Maced, 12, SURVIVING SPOUSE (If wile, gis maiaen arte) Newer Mariog, Wicowod, ‘Devorsed (Specityy Millwright Paper Married Rhonda Britt ‘ida RESIDENCE ~ STATE | iam. COUNTY 330. CITY, TOWN, OF LOCATION 13d STREET AND NUMBER: Florida Marion Ocala 2 Cedar Trace Terrace ‘13e. INSIOE CITY 138. BP CODE 14. WAS DECEOENT OF HISPANIC OF HAITIAN ORIGIN? 18 RACE ~ American indian, [16 DECEOENT'S EOUCATION LAMITS 2 te or Net Raat ae ny tren Cola ‘Black, White, wt, only highest grade completed Mencan. Puerta ican, 9ic) No Yee Speoty es Golege (1-4 ar So) No 34472 Soncity White om & ‘17, FATHER'S NAME (Fist Midis, Last 18 MOTHER'S NAME (Fini, Mictaie Maicien Sumanve) Julian Rayner Julia Milds fe INFORMANTS HAME | Typed 18u MAILING ADORESS (Siewert and Nuinber o Fuse! Route Nunimer, Cay or Town, State. Zip Coos; ( Rhonda Rayner 2 Cedar Trace Terrace, Ocala, Florida 34472 208. METHOD OF DISPOSITION 200 PLAGE OF DISPOSITION (Name of Cemetery, cremalory cr 206. LOCATION = City of Town, State: KB tusis—__ creersen Remove tom Slate | MME HSH! Ocklawaha Commmity Cemetery Ocklawaha, Florida (216, NAME AND ADORESS OF FACIITY Hiers-Belleview Funeral Home 5946 SE Robinson Road, Belleview, FL 34420 2B. UCENSE NUMBER fof Uownsee) 4171 10 the Comet) a8 sated, {Signsture and Tite)» sna bout of my knowedge. casth cocuted af he Une, dala and place ANd due 2 BATE SIGNED (Ma, Gay 74 elle Mle Vii -i eke), 81-71.) 30m ‘Fic HOUR OF DEATH ag Orbe eae marraige ele aaaatp oy omen aa ome 5 selaneture ana re) “Pee : 1) Stove SIGNED (Moy Bay ¥9 2 OF BEN Sz October 13, 2003 8:13 P iz 220 WANE OF AFTENOING PHYSICIAN IF OTHER THAN CERTIFIER (Type oF Pah M 35 Zig WEGCAL ExaMinens cage @ 8303-05 -0098.2. {24- NAME AND ADORESS OF CERTIFIER (PHYSICIAN, MEDICAL EXAMINER) (yee orm Patricia J. Moore, D. District 5 Medical Examiner Department, 809 Pine Street, Leesbur, 0. B, Fl. 34748 25: SUBAEGISTAAR ~ SIGNATURE AND DATE . [i Toca Rees 1 Khwge. RAR, 250. OATE REGISTERED. fi laf WARNING: THERMOCH The first five digits of the decedent's Social Security Number has been redacted pursuant to SEEN, Florida Statutes. THE ABOVE SIGNATURE CERTINES THAT TeHS THIS DOCUMENT 1S PRI MARKS. THE DOC ‘mn .State Registrar Date Issued: January 10, 2020 REQ: 2021186863 iS OW FORA! {946 (03.13) AL UA ae,