TASK ASSIGNMENT NOTIFICATION FORM

DEP CONTRACT NO. PJ..354

T•sk Assi1nment Number: PL354.:tW Date: January 8, 2020

Project N•me: Lake Wiles Rldte Ecosystem- Holmes AvmH Owaer's N1ae: Raquel Fernandez and Casilida Fernandez Sanchez County: Hishlands f • rcel ID: C22373O2603410021O & Cll3730l6QYJOQ2l0 IIMt11taI!l,w Ai!ll!<J'i FWCI Aqm,c: .,fl/ n,t•,; $ J.60DI BUfl-!321215

Contractor: Tall■basace Tide Group, Ll.C (n·G) Contractor Contract Manager. Joseph Boyd / Jamie Temples DEP Designated Task Manager: Mary K. Thunoond Subcontractors: (List, if any)

DEP Contract Manager: Sandnl D. Ray

FEID No: 59-190471 soot Phone Number: 850-580-2222 Phone Number: 850-245-2669 MBE: _ _ v es_x_No MBE: v es _x__No Phone Number: 850-245-2669

Tatk Description (Use additional sheets if necessary): Tbls Task is to provide• Title C6mmltment on the parcels described ■hove and attached•• Exhibit '"A" in accordance with the specirations attad1.cd as E1hlbit '"F"'.

Deliverable: Contractor !hall provide Title Commitment.

Performatke Measure: DEP Contract Man■1er wffl review delivenble to euvre speclllartions were met.

[iaaqd pl Conaegaenc:es: DEP wlll not p■y for unsatisfadory deliverables. Co■tnctor shall be given the rigllt to remedy at no cost to DEP.

17G approved eoatnded ntes ror tlle Cootract Title Closing Servica: Title Seardl/Closlng Com•ltaeot 5275.00, In accordance with the rate sc:hedale ■tt■dled ■1 Exhibit "B ...

Jr Closing Ocurs: The Contractor wUI be paid the Tltk Insurance Policy for Closi•c (lnsunnce Premium / Promulgated Rate), aed Closing Fee ($300.00), on the HlJD/Cloaiq Statement.

Title Commitment Due Date: 14 d•"• or bpt timefnmc if Jess. after execution of Task AmgnmHt Tuk AssJ&■ment End Date: 30-d■ys •Rer Oosipg

Task: Assignment Type:

Fee Schedule

Commitment Only

Totitl Task Assieoment Value

T.ALLAHASSEE 'JTTLE GROUP, LLC.

Lake Wales Ridge Ecosystem Pas~ I of2 'Pa11a

Liquidated Damates Per Day Cllarses: NIA

Amount Not To Exceed:

2 @ S 27$.0Q = S 5$0.00

S551.00

FLORIDA DEPARTMENT Of

~~~ PROTECTIOr/¥/ l J DEP Contl'lct M8fl8ier or dcsignee Date

S ROVED: . L.

~ -lfM7'(4'f _L- t -ct!>

Authoriiy Dile

-:5 ~ ;J;-o" ~ - .._ J - fr~~ 0 FundingA \fthority Dile

F A : un m n onnat10n: OR DEP RTMENT USE ONLY F d" I 6 Org. Code E.O. Fund Object

Code

37102000000 NE 348014 132600

cc: Procurement Section (MS93) -1 PDF

Lake Wales Ridge Ecosystem Page 2 of 2 Pages

Budget Cat Entity

37100400 084108

Module Project # Year Amount

NIA 50193 19 $550.00

BLA Number Request and Task Initiation Form

Donations/ Title / ESA Please attach all documentation as backup

From: Jeff Gentry

Date Requested: 9/24/2019

Project Name: Lake Wales Ridge Ecosystem FF/Holmes Avenue

Owner's Name: Raquel Fernandez and Casilida Fernandez Sanchez

Parcel Id # /Sheets: C22373026034100210, C22373026034100220 legal Descriptions:

County: Highlands

Acreage: 0.48

Value: 3,600

Contractor (if known):

Type of Interest Per Title Company (fee or less than fee): Fee

Managing Agency/ Contact Person: FWC/Larame Ferry

Funding Source/ Information: FF

BLA: 328215

Assigned By: Daphne Thomas

Date Assigned: 09/24/2019

REC'D

01/08/2020

C-22-37-30-260-3410-0210 - Highlands County Property Appraiser

Parcel C-22-37-30-260-3410-021 0

524 SUZANNE ST

LAKE PlACID, FL 33852

Owners:

FERNANDEZ RAQUEL +

SANCHEZ CASILDA FERNANDEZ

Malling Address

PO BOX613201

NORTH MIAMI BEACH, FL 33261

DOR Code: 00 - VACANT Neighborhood: 1252.00 - SUNN LAKES LP UNITS 21-29 Millage: 40 - County Southwest Water Map ID: 160B

Legal Description

SUN N LAKES EST SEC 26

PB 9-PG 35

LOT 21 BLK 341

https://www .hcpao.org/Searcb/Parcel/303 7222603410021 OC

Pagel of 3

9/24/2019

C-22-37-30-260-3410-0210 - Highlands County Property Appraiser

Total Building Value

Total XF Value

Total Land Value

Total Land value - Agri.

Income

Total Classified Use Value

Total Just Value

Total Assessed Value

Total Exemptions

Total Taxable Value

Value Summary

Taxable Value Summary

$0

$0

$1 ,000

$1,000

NA

$1,000

$1 ,000

$1 ,000

$0

$1 ,000

Please note that property values in this office are being updated throughout the year. The final values are certified in October

Sales History

Official Record Date Type Qualified Vacant

Reason or or Sale Price

Book Page Month Year Inst Unquallfied Improved

Code

2611 820 12 2017 DC Unqualified Vacant 11 $0

2611 821 12 2017 DC Unqualified Vacant 11 $0

2611 1272 12 2017 PB Unqualified Vacant 11 $0

2613 297 11 2017 QC Unqualified Vacant 11 $100

739 188 11 1982 Unqualified Vacant 01 $2,600

Buildings

None

Extra Features

None

Land Lines

The zoning information contained In this record is not guaranteed.

For exact infonnation please contact the Highlands County Zoning Department.

Land Unit · Depth Cond Total Unit Adj Code Descr RD Zone Front Depth Units • Type Factor Factor: Adj Price Unit Pre Value Notes

0100 SFR G R1 83.00 125.00 1.00 LT 1.00 1.00 1.00 1,000.00 1,000.00 $1 ,000

https://www.bcpao.org/Search/Parcel/30372226034100210C 9/24/2019

C-22-37-30-260-34 l 0-0210 - Highlands County Property Appraiser Page 3 of 3

DISCLAIMER:

Please note that property values on this site are contlnously being updated and are a work in progress throughout the year. The final values are certified in October of each year.

Highlands County Property Appraiser • 560 S. Commerce Avenue • Sebring, Florida 33870-3899

Office Hours: 9:00 a.m. to 5:00 p.m. Monday - Friday • Phone: (863) 402-6659 https://www.hcpao.org/Search/Parcel/303 72226034 J 0021 0C 9/24/2019

C-22-37-30-260-3410-0220 - Highlands County Property Appraiser

Parcel C-22-37-30-260-3410-0220

520 SUZANNE ST

LAKE PLACID, FL 33852

Owners:

FERNANDEZ RAQUEL +

SANCHEZ CASILDA FERNANDEZ

Malling Address

PO BOX613201

NORTH MIAMI BEACH, FL 33261

DOR Code: 00 - VACANT Neighborhood: 1252.00 - SUN N LAKES L.P. UNITS 21-29 MIilage: 40 - County Southwest Water Map ID: 160B

Legal Description

SUN N LAKES EST SEC 26

PB 9-PG 35

LOT 22 BLK 341

https://www .. hcpao.org/Search/Parcel/303 72226034100220C

Page I of 3

9/24/2019

C-22-37-30-260-3410-0220 - Highlands County Property Appraiser

Total Building Value

Total XF Value

Total Land Value

Total Land value - Agri.

Income

Total Classified Use Value

Total Just Value

Total Assessed Value

Total Exemptions

Total Taxable Value

Value Summary

Taxable Value Summary

$0

$0

$1 ,000

$1 ,000

NA

$1,000

$1 ,000

$1 ,000

$0

$1 ,000

Please note that property values in this office are being updated throughout the year. The final values are certified in October.

Sales History

Official Record Date Qualified Vacant Reason Type or or Sale Price Book Page Month Year Inst

Unqualified Improved Code

2611 820 12 2017 DC Unqualified Vacant 11 $0

2611 821 12 2017 DC Unqualified Vacant 11 $0

2611 1272 12 2017 PB Unqualified Vacant 11 $0

2613 297 11 2017 QC Unqualified Vacant 11 $100

749 314 03 1983 Unqualified Vacant 01 $2,600

Buildings

None

Extra Features

None

Land Lines

The zoning information contained in this record is not guaranteed.

For exact information please contact the Highlands County Zoning Department.

Land Unit Depth Cond Total Unit Code Descr RD Zone Front Depth Units Type Factor • Factor, Adj Price Adj Value Notes

Unit Pre

0100 SFR G R1 83.00 125.00 1.00 LT 1.00 1.00 1.00 1,000.00 1,000.00 $1,000

https://www.hcpao.org/Search/Parcel/303 72226034100220C 9/-24/2019

C-22-37-30-260-3410-0220-Highlands County Property Appraiser Page Jof 3

DISCLAIMER:

Please note that property values on this site are continously being updated and are a work in progress throughout the year. The final values are certified in October of each year.

Highlands County Property Appraiser • 560 S. Commerce Avenue · Sebring, Florida 33870-3899

Office Hours: 9:00 a.m. to 5:00 p.m. Monday - Friday • Phone: (863) 402-6659 https://www.hcpao.org/SearcWParcel/30372226034 l 00220C 9/24/2019

Search - Highlands County Property Appraiser

Property Search Results return to search

Returned 1 records.

Parcel ID OwnerName

1 C-22-37-30-260-3410-0220 FERNANDEZ

RAQUEL+

DISCLAIMER:

Export All Records

Site Address City Zip

520 SUZANNE ST LAKE LAKE 33852

PLACID PLACID

Please note that property values on this site are continously being updated and are a won< in progress throughout the year. The final values are certified in October of each year.

Highlands County Property Appraiser • 560 S. Commerce Avenue • Sebring, Florida 33870-3899

Office Hours: 9:00 a.m. to 5:00 p.m. Monday - Friday - Phone: (863) 402-6659 https://www.hcpao.org/Search 9/24/2019

'--> . V~j

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WNUUHTY DEED

(m<>M CORPOIIATION)

26-53775

This iMIIU,,...,t - by llNDA E. STONE

EMPLOYEE OF GRANTOR

P:O. Bax 3388 Sebring, Flo. 33870

THIS WARRANTY DEED, Madt IM 15th dllJI of March , A.D. 19 83 , BETWEEN CFD, INCORPORATED,. a corporation existing under the laws of tltf! Statt of Florida /raving iJs principal place of businf!SS in the County of Highlands and State of Florida, and lawfully authomttl to transact businas in the Stotf! of Florida, lrf!l'einaflf!r ca/ltd tM 1rantor, and address lrf!l'tintqtu caJkd the pantu:

Jose Fernandez Oulego and Clarida Sanchez He·rnandez, his wi'fe Duke 924 (Altos) University Gardens Rio Piedras, Puerto Rico 00927

(Wlwrtfl'ff ,at,/,_...,,.,,.,,.., •1r.mo,• ond "11r-tt" llu:I~ all t/w ,,.,..,, to ,_a ilutn,lff- •IHI the lwin, kpl ,__.,,._ - ...,.., o/ ittdMat.b, -,J ,,., .,cor,_, .,.,J _,,_ of ,o,po,"1io,,t)

WITNESSETH: That tlrt said grantor, for and in consideration of tlrt sum of SJO.fHJ and otMr valuabk con silh,Mions, ncdpl wlrtrtof is lu!uby aclcnowledgtd, lras grantM, bor1aintd and sold to tire said grantee the follow• in1 described "1nd sitUIIU in Hi1/r/(llt/b C°""'Y, Florida, to-wit:

Lot 22, Bl ock 341 1 SUN'N LAKE ESTATES, Sectton 26, according to the plat thereof recorded ;n #' Plat Book 9, P_age 35, of the Public Records of Highl ands County, Florida.

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Cl.I ~ ci -~ (') u:

..J X , _c c:8 gi § o~ ._, Vl a; J!

: t - J 't:t f! aforesaid propf!rty /$ within thf! La.Ice Placid Sun 'n Lakf! Estates Improvement District and said F.opf!rty u subject to 1M taxes lf!vltd and sp«ial assf!Ssments made by said Di!IJrict, and/$ subject to Conditions, Rl!Stric tilJn.r, .{,inti · , t, Resnvations and EostmorLI of Record including a resuvation unto ilself, its successors and ~#,~ . .;J.• . · · fi:,"~PJ:, 7.5 feet for utility and drainage purposes along Otte sidf! lot lint. A ttd the .,aid pantor d~~i!JP. - .,J~~'! t~. title to said land, and will <kfend 1M samf! again.st tht lawful claims of all persons . .lf~~i/4ir,,, _-:)":-:; --~~->--"· ,, -· .,.\ ... , .. ·~,.. ... •rs•,.. ,. ·r})_-- .. ~-~- -; 1· \":· '.•·: .• • :-'•·; e.-(1..•;~:':;;;;;=:.,:,':'.,.': · · IN WITNESS WHEREOF, tlrf! grantor lros causttl these ; ~: ~",> i._;: V) ~,:•.'i;:-'t ~; · ,. presorts to bt siped in its NUnt by ih proper offictrs, and

\ .?:, i::: '.i, '1; ·i: ,~ ~ ~?! l,', its corpor_att ual a/futd and attested thf! day and year t~·,"t.,,.~ .. : .<7 a-\~ \ ..... 1.:.: : o ~: ~ · · above written .

. ,. :\ '. A;r,. :: --?.···l:i~; .

' ••. ..,. _.",,;_\. , • •• A. .... ,6\ .~,· 0·

. -: _.., _;:,-.f· .,·· :.,\\:,;·,•\ ". . "', A ~ ...... ;~~,,t·.: . "'--. p'· tt:)'-'

STATE OF FLORIDA

CFD, INCORPOR_ A_ TE_D ____ _

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C z:

C, ::0

-0 0 ::c ::0 .., b ,_. c,,; "", en

COUNTY OF HIGHLA NDS . ~ ~ ,,:; , -- .... . . . ·-:-,. .. . . :~~

I HEREBY CERTIFY tlrat on tlris day bt/orf! tMptnonal/y opptartdR.N. WEISSER llltdJ-: fl':/ilfiJik)_•.,tjt~.\/· :

dent and Secretary resptetivt/y of tM forf!,Oinl corporation, to mt brown to bt the ptno~ tf!'!'!'~-llf.flfr'f ·~l·.

iolttg in.strumtnl as such of/icf!rs and Sf!Vtrally acJcnowltd1t the execution tltf!Teof to bt t~;; .(~, .. . Jlij!#,Wi#/Jdr .. ,~:•• sudr off#CtrS for tire uses and purposes tlrtrein mtnt.iontd tllfd tlult they 4/ftxtd tlrf!reto·"_the ~~a/WM · ';'· corporation, and that tht soul lnslrwtffflt is tire act and dttd of said corpor4tion. . : · · .. /::.:f/::,:... -' ;";;. ·(<":- -.

, •. ,..,.If' -r • ():"• z, 1 ·• ~ •.

IN WITNESS WHEREOF, I lrtromto set my lrond and official seal at Sf!bring sdid C~l)f~l~~~i>f.V.,~·•} ,'..

this 15th dayof March , A.D.19 83 .,..- ~ ,:l~ - a .. :'·': , •.• ,·,-.,, ' ., -,:, L"/ ;, . :....C..:..!-. ,·.. ,r,1 ' '-·.', .. , ~--·· ~- .•• My commission expira: _,.,.-- ~ , • ; ·• : .• · .. i:r;';,"c;. ~,_ ·:. ~;, fr~'¼.

NOTARYPIJBLICOFFlORIDAATlARGE ,1. ~. ...,_ ~ - • ~ , .• • •• •» ,,.·. • .. < ' fll ·, · My commiulon •• pi .... - 25. 11183

505006

Notary Public

'.O • .: .

'BOil«

WARRANTY DEED

(FAOM COf\PORAT IOflJ

26-53774

This lnl1rument preparad by

LINDA E. STONE

EMPLOYEE OF GAANTOA

P.O. Box 3388 Sobrlng, Fla. 331110

/9111

THIS WARRANTY DEED, Madi! tM 4th "4y of November . A.D. J'J 82 , BUWEEN CFD, INCORPORATED, 11 corporation existin1 undu IM laws of the State of Florida ha11in1 iJs principal pl,,ce of businas in tM County of Hithhmds and State of Florida, ond lawfully authorlztd to tronsact business ill IM State of Florida, hueinafter called tlte 1rantor, and addrus

Jose FERNANDEZ Oulego and Clarida Sanchez Hemandez, his wife Duke 924 (Altos) University Gardens Rio Piedras, Puerto Rico 00927

(W~ _,, _,.. tJw ,.,_ •,,-•-".,,_._._,.,,,._.Ille _,.,, lo tlH, 11,d,- a"1tl ....... """-------of-... -,----;,.ro/~ WITNESSETH: That tM said 1rturtor,.Jor and in consideration of tlte sum of SJ0.00 and otlwr 11/lluabk con Rlkr•Jo,u, re«ipt wlwno/ Is lwnby adcnowkd8f!d, lttu panted, b«r1olned ad lf)/d to tlte said 1rantH tltefollow bt1 described ..II sibMtu ill Hitltltatds Cow,zy, FloridtJ, to-wil:

Lot 21 , Block 341, SUN'N LAKE ESTATES, Section 26, according to the plqt thereof recorded ~~ in Plat Book 9 , Page 35, of the Public Records of Highlands County, Florida .

. "' ci .

u~ ...., ~g I- 2 oa ~ l-</4 (I) a, <00 z 2: ~ 0:-S CD tJ £2 °:The o/P,!P!'4/ property is witltin the Lalu Pladd Sun 'n La/cl! E$Ulln lmprov~ District and said property c.: :c a.is subfr"e.t .. t9 t~ taxa levied and special assessments made by u,id District, and if subject to Conditions, Re:rtric-lfum,,Jd("llatlons, !Usqv~lo!fS and Ea~ments of Record including a reservation unto itself, its su«l!ISON and

-~ ·- ."!J,-,S~ , _'!f-1:.ifeet for uJiliJy and dralna1e purpose11 al0111 one side lot fine. And tltt said grantor _-di . , ,;,' ,, ,,. ,.· .. _ · : , lhe tide to said huul, and will defend tlrl! same atainst the lawful claims of all pn-so,u •tt!ll" 1 o,Z ,. ••:.c--• ,, ,. 'f. "': " t .- . . l"'IJP-:c./ · .• . ) . ';!i\\ ~ • ••• , . . _,_-•• 1, · ;:_-.{ ) .,·:\':'.;·,'.;'.·._:ff.~ . . : , IN WITNESS WHEREOF, the grantor luu caused theu

. ~- . /;[..,- i:~ '.'°~ ·-~'%:- . - ' presoct, to M st11Wd in its 1t11111e by iu propa offi«n, and '.::;i · · · : ~ ~·": -~, 0 -}~t , . iJs oorpor_ate 11ml tifraed and attested tM day and year v~~ ,:,:~; · J r: B-! ~ i: ,J above wrrtten.

. .. •:_i ... \P,l' .-.,. ~.,~ ft! :\·~-~· '

~. ;_-.,,. ~:••· •'!.•\~_-,-.' CFD, ...,CORPORATED ,,.- .'.:. ..... ~.;,. ..... •·~,J,'· ' f" ·l -'· -j,;;;~~. _:t': ,µ\1 .. : . ~~.--,{

, -,.;f ~ . ,;-,,,1,iiW ·-· .. , . ~ r / L.J>-.

··•_. . '~: i: :,~ l J. Wt..' .·. its etary _ __ ......,_-=--R---.N- .- W-d.r$-.- er- as_ iL_:r_P_re_ siden_' - ,-----

. .• 1'.,.~ <' ,._,_. :: ., Si1n~{#Gid.ond ddiwml in IM pnsenu of us:

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v,J/u I t:..11161, ST ATE OF FLORIDA c::, ,...

n c::n

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(.D

0:, m ::m ~ g cc

COUNTY OF HIGHLANDS ~~ c,; ~ : . _._. 9 '/I> ,.._, . 12' ·. ·r

I HEREBY CERTIFY t/tlll on tllis day M/ore - personally appeand R .N. WEISSER and J . W. Jd~i$1.ii:f:,'.-~: :

dotJ etdS«rdtlTJI rnp«tivdy of tMfore,oiltg corporlllioll, to me uown to M tlwpersons_ wlto Jip,«J~\ . . · .. ;_ •. , ,outl in#nlment ,a melt olficen t111d s~erally adt.11owled~ IM atttltlolt tltn-~f to M tlll!,r frtt .lid-~~• •. ~ ·. '.:_ 11uclt ojficos for the 11$0 and purposes therein mentioned IUld tlral they a/.fvted t/terdo, thl! o.fJh!lf'Jt;.,,."<1!,~'."'.,;, 't· corporlllion. and tltat lM said instnanmt ill tlw ad and dffd of said corporation. . '· , • --~ ..,_ .,,. · ·• '{'; , , :

IN WITNESS WHEREOF,/ heramtoKl1ny/wulalfdojJidal$UlaJSdJrlngsaidCOWttytJNIS.i;it,)~~i~ ~:~/L.

this 4th day of Novenber , A.D. 19 82 T::1 ': ;;·;~ ·: • t -~;,· ..'

;=~;:~~·~~ / .. / }:~:;~;;:r{ lo.it 739 PAii{1B8 . 498690

COMMONWEALTH OF PUERTO RICO

IN THE CIRCUIT COURT OF THE FIRST JUDIOAL ORCUIT

SAN JUAN'S COURTROOM

CASILDA FERNANDEZ SANCHEZ

Petitioner

CML CASE No: KJV200S-2228

MATTER: DECLARATION OF

HEIRS

TRANSLATION

CERTIFICATION

I attest that the following is a true, complete and correct translation of a Heir Adjadication, consisting of One (I) page legal size sheet of paper. The page has a raised seal at the right bottom size of the page.

I also attest that I'm certified to effect such translation.

County of Miami-Dade

Acknowledged before me, Notary Public of the state of Florida on this Oct 10"', f

ESTADO UBRE ASOCIADO DE PUERTO RICO

TRIBUNAL DE PRIMERA INSTANClA

SALA DE SAN JUAN

CASILDA FERNANDEZ SANCHEZ •

Peticionario •

CIVIL NUM.: ,.f"jtl.;aos, ;).:J.>il

SOBRE:

EX- PARTE * DECLARATORIA DE HEREDEROS

ABINTESTATO *

JOSE FERNANDEZ OULEGO "'

RESOLUCION (L-

Examlnados los autos de este caso y atendldo el procedlmiento estilblecido por el Articulo 552 del C6dlgo de Enjuicfamlento Civil, segun enmendado por la Ley

203 del 23 de julio de 1974; 32 L.P.R.A. 2301; se decreta como 0:mlcas v universales hcrederas de DON JOSE FERNANDEZ OULEGO, seguro social 265-

11-2616, quien falled6 lntestado en Rio Piedras, San Juan, Puerto Rico, el 30 de mayo de 20Q.S, a las personas cuyos nombres y numeros de seguro socia l sc detallan a cont inuacl6n: a SUS hljas, CASILOA FERNANDEZ SANCHEZ, seguro social numero S83-86-4395 y a RAQUEL DE LOS ANGELES FERNANDEZ

SANCHEZ, seguro social numero 584-58- 8264, sin especial mencl6n a la la cuota vludal usufructuaria ya que el causante era viudo al momento de su 6blto.

Dada en San Juan, Puerto Rico, hoy ~o de ~ de 2005.

REGISTRESE Y NOTIFIQUESE.

CERTIFICO:

JUEZ SUPERIO;-)--

AW1I 'JI. iP. I{, •1 1'1 V , Ao~

~~.~ «2ti .·. \~ 9,~£ - )-~ -- .

. r~,s~•Al

DE

• I •' ot

ESTADO LIBRE ASOCIADO OE PUERTO RICO

TRIBUNAL DE PRIMERA INSTANCIA

SUBSECCION DE DISTRITO

SALA DE SAN JUAN

JOSE FERNANDEZ OULEGO crvIL NUM.:

PeticionArio SOBRE :

EX-.P~

DECLARATORIA DE HEREDEROS

AB INTESTATO CLARIDA SANCBJi:Z *

HERNANDEZ *

RESOLUCION

Examinados los autos de este cas o y atendido el procedimiento establecido por el Artic ulo 552 del C6digo de

Enj uiciamiento Civil, segun enmendado por la Ley 203 del 2 3 de julio de 1974; 32 L.P.R.A. 2301; se decreta como unicos y universales herede ros de DONA CLARIDA SANCHEZ HERNANDEZ, quien fa lleci6 intestada en Rio Pied=as, San Juan, Puerto Rico el 30 de agosto de 2000, seguro soc ial 267-11-9511, a l as personas cuyos

. nombres y numeros de seguro social se detallan a continuaci6n : a

SUS hijas, CASILDA FERNANDEZ SANCHEZ, seguro social numero 583-

86-4395; RAQUEL DE LOS ANGELES FERNANDEZ SANCHEZ, seguro social numero 584-58-8264 y a SU viudo, DON JOSE FERNANDEZ OULBGO, ~ambien conoci do per, JOSE FERNANDEZ OLEGO, seguro social numero

265-11- 2616, en la cuota viuda l usufructuaria que le corresponde y ordena l a Ley .

Dada en San Juan, Puerto Rico hoy ';}7)cte~ de 2001.

REGIS'l'RESE Y NOTIFIQUESE .

~.oz~

,,/ ~. - JUEZ SUPERIOR

TRANSLATION

CERTIFICATION

I attest that the following is a true, complete and correct translation of a Death Certificate, consisting of One (I) page letter size sheet of paper. lbe page has a raised seal at the righl bottom size of the page.

, I also attest that I'm ccrtif'ied to effect such translation.

State of Florida

County of Miami-Dade

2017.

Acknowledged before me, Notary Public of the state of Florida on this Oct 10"", DEPARTMENT OF HEALTH - DEMOGRAPHIC REGISTRY

DEATH QRTIFICAT£

CERTIFICATE NO: 152-2005-02391-011331-260842-01801560

DECEASED'$ NAME: JOSE FERNANDEZ OULEYO

SEX: MALE

MARITAL STATUS: WIDOW

SPOUSE'S NAM E: CLARIDA SANCHEZ

DATE OF DEATH: 05/30/2005

PLACE OF DEATH: RIO PIEDRAS, PUERTO RICO

REGISTRATION: 05/31/2005

EMBALMED: EMBALMED

CAUSE OF DEATH: STROKE, NOT SPECIFIED AS HEMORRA'AGE o·R INFARCTION

DATE OF BIRTH: 09/16/1924

AGE: 80 YEARS OLD

PLACE OF BIRTH: CUBA

FATHER'S NAME: JOSE FERNANDEZ FEIJO

MOTHER'S NAME: CASILOA OULEGO BAO

ISSUED DATE: 09/14/2017

I HIS IS .t.N EXTAACT Of nlE RECORDS

FILED AT THE DEMOGRAPHIC REGISTRY OF

PUERTO RICO ISSUED UNDER THE ... UTHOftllY Of nu: IAW 24, APRIL 22, 1931

No: A1339323

There is an illegible signature

Health Dept Clerk There Is a Post Office Stamp

There is an illegible signature State Register

Health Department Warning

Not valid without a visible watermark Void if altered or erased

TRANSLATION

CERTIFICATION

I attest that the following is a true, complete and correct translation of a Death CertiflCllte, consisting of One (1) page letter size sheet of paper. The page has a raised seal et the right bottom size of the page.

I also attest that I'm certified to effect such translation.

State of Florida

County of Miami-Dade

Acknowledged before me, Notary Public oftbe state of Florida on this Oct 10", DEPARTMENT OF HEALTH - DEMOGRAPHIC REGISTRY

DEATH CERTIFICATE

CERTIFICATE NO: 152·2000-04076-019401-260842-01663756

DECEASED'S NAME: CLARIDA SANCHEZ HERNANDEZ

SEX: FEMALE

MARITAL STATUS: MARRIED

SPOUSE'S NAME: JOSE FERNANDEZ OULEGO

DATE OF DEATH: 08/30/2000

PLACE OF DEATH: RIO PIEDRAS, PUERTO RICO

REGISTRATION: 09/14/2000

EMBALMED: EMBALMED

No:A1339322 cAUSE OF DEATH: DISSEMINATED iNTRAVASCULAR COAGULATION (DEFIBRINATION SYNDROME)

DATE OF BIRTH: 04/07/ 1924

AGE: 76 YEARS OLD

PLACE OF BIRTH: CUBA

FATHER'S NAME: ESTEBAN SANCHEZ

MOTHER'S NAME: MARIANA HERNANDEZ

ISSUED DATE: 09/14/2017

THIS IS AN EXTRACT OF THE RECORDS

FILED AT THE DEMOOIIAPHIC REGlmY OF

PUERTO RICO ISSUED UNDER THE AUTHORITY

Of TH[ IAW 24, APRIL 21, 1931

There is an illegible signature Health Dept Clerk

There is an Illegible signature State Register

Health Department Warning

Not valid without a visible watermark Void if altered or erased

There is a Post Office Stamp