Updated 03/01/2005

The John Locke Society
of Greater Kansas City

 

Legacy Declaration

     I, _____________________________________________________________,

 residing   at____________________________________________________________________________________________________________

 ____________________________________________________________________________________________________________________ 

on this date_______________________, being of sound mind and in control of my wits, do declare, by this intstrument, my intention and desire to bequeath a portion of my estate in the amount of ____________________________________________  to the John Locke Society of Greater Kansas City at the time of my demise.
     It is my hope that this money will be used to further the activities of this organization, especially the activities of the Caduceous Club in the education of children in health matters.

     A certified copy of this document will be attached to my last will and testament.

Witness___________________________________________________Date________________________

Witness___________________________________________________Date________________________



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Updated 03/01/2005