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High Point Museum at Aug 19, 2020 04:29 PM
High Point Museum
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High Point Museum

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STATE OF NORTH CAROLINA, Guilford COUNTY.

I, W. H. Ragan Notary Public do hereby certify that
C. B. Hayworth and Francis Hayworth his wife, personally
appeared before me this day and acknowledged the due execution of the within deed of conveyance; and the said
Francis Hayworth being by me privately examined, separate and apart from her said husband, touching
her voluntary execution of the same, doth state that she signed the same freely and voluntarily, without fear or compulsion
of her husband or any other person, and that she doth still voluntarily assent thereto.

WITNESS my hand and private seal, this 1 day of May, 1893
W. H. Ragan NP [Seal.]

STATE OF NORTH CAROLINA, [blank] COUNTY.

The foregoing certificate of [blank], a Justice of the Peace of [blank]
County, is adjudged to be in due form and according to law. Therefore, let the same, with this certificate, be registered.

WITNESS, my hand and official seal, this [blank] day of [blank], 189[blank]
[blank]
Clerk [blank] Court.

2

State of North Carolina Guilford County
I W H Ragan Notary Public do hereby certify that
C B Hayworth and Francis Hayworth his wife personally
appeared before me this day and acknowledged the due execution of the within deed of conveyance and the said
Francis Hayworth being by me privately examined separate and apart from her said husband touching
her voluntary execution of the same doth state that she signed the same freely and voluntarily without fear or compulsion
of her husband or any other person and that she doth still voluntarily assent hereto.
Witness my hand and private seal this 1 day of May 1893
W H Ragan NP [Seal]

State of North Carolina County
The foregoing certificate of a Justice of the Peace of
County, is adjudged to be in due form and according to law. Therefore, let the same with this certificate be registered.
Witness my hand and official seal this day of 189

Clerk Court