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Tp THE STAGE ~ ~ Yl1~~(, .~~~....,."• ~~j`~~~~t~~~y< ~ : M y ~
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Thb a nh- dd~aia~ a+?QM ~~Qly~reAip~ii~.rtil~.laitar.~. M1er+d. t~.rt~nww.~ht.~.,n~ln ~oordano..
In coaiorntpll _ ? , ~ J .- . .
1 was a` b0a1. o~---r. T ..~~~+~ Q~`.~t4~- .`.. _ _ ~ Oh1$ari
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and 1 rasidad M--pj.#.4~--- ~- __ ____-..r l~w~rar. ! k~~(1t dwpad ~M d~mldM
IMaM Ni~rd '; ,.
~ r«w.ns o~.~» say. of Morava .laa-~---~~----------------d•,- ~
to and am and haw bMn • ba++!'
-------~soeslber_----_ __--------• 14 61 _, and I rMtd~ -N __--~-~-Sot~ 3------- --------
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---------3't.Piss~ne~14------------• - . ------------- 8~:~uoie~-_-:.: county, Florida,
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and this :tatamant b b ba taken as ny dadaalbn of dtlanrhip, adwl bpa! naidM+o~ and domk~ M- ~ ~»
of Florida.
p+wrf Mn ~ofr f~~M f~ek weA M ~ a1 sip«M K t++nYnw a ealY+~+Mr7w+~ N A~~wM M tarw.~NMw
w++nwl et fu++r~r » +nw i+NeM~, l++ea#~w ~! Iwo, ~
gntering l[axrvin- 8lahard Rislxt$ in the 3rd grade
1(Y1511
. ~ 1962 ~ 9:55
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` I FURTHHt CERTIFY that 1 will register at my local address when the hpithatbn books reopen. and comply with
all other ra~quir~r+ants 4f a ~ rrsicbnt of Chit Stab.
1 FURTHER CERTIFY that 1 haw rw (nbMbn b return b my hxmar domieib, and 1 inland b t~naM M____--
---------i~t~~#eree-~------------------. _ _ .
permanently
Sworn b and subauibad bakr~ ma thb .
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_ ____-. -.at,laliCie________-- County, Florida,
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