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grantee
                                        The Land Development and Utilization Act
                                        
                                    
                                        grantee, assignee  $508000000000 009000 0aciacerrerintrantenerasirrtisenes  surrender     [the inclusion of this page is authorized by l.n. 4/1976]
                                    
                                    
                                        The Record Office Act
                                        
                                    
                                        grantee  nature of  [instrument  date issued  date returned  to whom returned or handed regd. letter no.  liber and folio  diagram  your  hour of  presenting]  by whom  presented  no. of legal sheets     [the inclusion of this page is authorized by l. n.