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\T, LUCIE COUHTT. FlA,
To the Clerk of the Circuit Court of.-.. ~a y.'r...I,1]l!D..................:.:.:.:::,County. J. .....' ..J1.BAaCI8...C~R"OIA.IU ....-.,..--
N.o\W& 0. ClOUlnY NAWa
of...P.OR!r...EUIi~.LORlDA.................., born at...............:aI.TOB~O.....IUU................................. ..., on the.....4.t.h..,...........--
day of.... JlQYEVRRR ....1.9.2.8........, pduated llt.....B.OLOOB..L.mrrYERS1~1............,.....,.........,_.............. datc........ll/.22/5.2.....-
WUlfCA1. OOLLllOC .
who, being duly sworn, says, I am the penon named in the foregoing lkt:nJe and the penon named in the diploma whkh I displa)-ed
befoft' thf' Examining Board, and 1JIl' the lawful poueIIOf o! ~ I have, before rettivin! this littnac. compliro with allth~ require-
IJl('m~ to the examination required by law: that no money baa been paid Co<< such licenIe, except the rqula.r fe~ paid by an applicants,
and that no fraud, misrep~nt&tion, or mistake in any material r~g;ud was employed J,y anyone. or occurnd in ordt'r that such IkrnJe
Ihould be granted. Signcd..~.::~..~.>:......€......&.!:-, ~:\..,....................................
Co\:STY oFSAlNT .L.UC1E.............................................. .
ST^TE OF. FLORIDA ............... ......................-...................
SiKJ1t'd and swom to before me this..........2bth...............................day of........A.UGDS.T................,............................ 19.b..L.
Signature of offim............ff!::"....<;.;-~~::a.~..................... .........
Notary Public, Slale 01 nOMa at t~. .
My CommisSIon. [.pires rob. 4, J96~
Bonded by Amer"..n Surety Co. 01 N. l'p
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STATE OF FLORIDA I
CoUNTY 0'__ dd .. ..d........d.....................__ \
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. ......__.d.' Clerk of the- Circuit Court
in and for said County. do certil, that....................._................_................................ ...,
OL.......d.............................................._.........._...haa this day registered the f':)regoins
Lic~1\!C and Afflda..it in my offICe.
WITh"ESS: my hand and the teal of s.:lid Cirruit Court at
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................................................day of..........._......._......._............__.................. .." . 19.. ......,
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Clerk of Circuit Court,
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