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IN THE CIRCUIT COURT FOR FLORIDA IN RE: GUARDIANSHIP OF COUNTY, PROBATE DIVISION File No. Division RECEIPT OF The undersigned, , as guardian of , hereby acknowledges having received from , the following: Signed on this day of , . [Print or Type Names Under All Signature Lines] Bar Form No. G-6.035 © Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com