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~ ~ wa... . y R. h~ '.A i° M ~,•i' . . . . . . . . ~ ~r~rP •w....r.~. t ....~_..:..ti:r,: \ . . . . ~ ' i+IMMMRwoM a ~wwMIR /M~r'~ aw M. ~~t w.~rw.+..~ M. w. w w. M. ~ w. w.. c..r..i ~ ~ , ~t~wiM~. Mei~ ~ 13?;~`,~ ~ : ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ . PSN~YLY~ IA N~T It~AL ~tv1L t CASUALZ'Y ~iSUB?I~iC~ CQt~lAl~l'Y, individwtlly ~d ~or tbo use • ~~..~.~~a~c~.~..Qx_._~~,x~...~?~a,. ,~......~....~c~a~ar~ ; ~ 1 ~'^u~~'; xirrrs ~~tcauw c~vrr, ~ .IN..~..1!'~..~TR...L..~~.$.....---~....~tt#l~, ~ ~ AR't'AU$_. tAYRt~i3.~ ~ ~XDI`~~~. - t ~ fl ANO RE~~'` • ` , ~ ~y~ ~ LAW NO. 30Q0-L ~ ~ fl ~ ~ . ~ ~ VI? , ~~•4~ 1 i~ r ~ 19 ~ 27 o~I~ ~ ;w'!~y1..:+ . ~ , . . c . ~ ~ . . . ~ : ~ ~ .;:r.,~: ; w ; : c7 : , x , V ~ ROGER POITRAS. CLERII ' ~ ~ . . . , ~ ST. l~lCfE COUNT~, flORl~ . = • ; :n ~ • ~ j • ~ , _ ' t C?'~~°,,: f ~ ~~tt~lll.~I1 ~~it ~ ~P 1`~~Plt~~: Tho~...~._.... dack L. Roge •r~*"c~~~~oBr~~ ~ r ~ • l7 } xogers, sttorneye o! record tor Pennaylvsnia~Natio~sl l[utual C~sualty , ~ Iasurs7dce ~any mnd Nathaniel walker ~i~ r~~ffs ~ ~ : ~~A IIw ~d~ow ~t~rlsd cawe. wl~«rin a~n?fnt was r+vndQ~d on tla 15th ~7? ~ April • ~ , . ~s' ~ 0 A. D. 14 g$ tn eh. aboo. ao~.d oo~.re fa' T1n'sLVS $UNDR$D aad no/100-------•~OLLARS ~ . ~ ~ ~ .~d cw~a.. ~at+~+e .Arthur Cairn~ ~ v ? e - ~ ti~. d.rsndont th.r~.tn, .n~d /~a~.ne b.t~eg duty rs~ord'.d en ih. aan~a o/ mid Coure a.~d a ao~? ii?~sof hw~tnp 6s~n nc~oi~d«~ ln Cire~ait Coust Milyutie Boo~ nwa6sr 3Z . , Pao,~ 24 , oj th~ ~ ~ . . ~ 0 ~ a w+~ o! st. I~1~cie coune~?. Fbeida. do I~w6y o~uwint«ap. f r~l~ paynwnt ard ~aei.- _ ~ t~u~,? ~„d f~?b, ~?e ~1~a e~?. ,1~t! 6. ,~e,,fr.d of n.~d. ; ~ ~y hand ond ,~a! . thta 22~°,?d day oJ April , A. D. 1965 . ; . $ Slpr~d. Saai~d ond DQ1lwnrd tn Presonca a/: ~ . ~ .....~...~...~~~dt . ~ Js L. R~ogers o~ ~ogera ~c Roger~ : ~ f . Att~neys..~at..recflzd...~ar.....................-- f Plsinti~fe ~ ~ . ~ ~ ~ , ~ _ , ~ ~ ~ ? , ; STA'IE OP FL~tIDA. ~ . . . . . . ~ O~iJN'I'Y OF B'g' ~ j~Q(~,, ja`i ' ~ ~ • I HBREiX C~ATI~Y t~t ~i t1~ d~?.r b~ ~i`:~ aH"~mer dul~ ad~jsed i~+ ttie Sws aiare~id and L~ tV Co~~r aforawid /o ta~e se~b~rMd~~es~, Per~o~aNP ~PF~ t ~ Jacfc L. BaQers at tlse i~w t~r~ at Bagers & H~ogers, attorneye ot record tor Plafntit~s ~ ' ! w me lce~w. to se ~ p~+ra. dd~cr~ed je ,wd wLo e~~eed dte tone~oia~ ~tactio~ oi jud~nt and 21e , ~ sckwoMkdjed betare me tb~t ~10 sx~ecrted t~e ~rne. . ~ WITNP.SS n~~ 6rwd ,wd oft,eial ~eal ia tbc Ca~at~ sw~ &ste 1..c•~JOaa~id el~ 22ri~ dsy o[ . `^~Ntf10111k~~ `~~'~~:,!cC . bpril n. ~9gg. ;.~`Spt~ ~y.y ~~.~~a, . ! ; • ~ •11~~~ A ~ ~'r . • ` : ~,r~ . i , ' e; ~ 8tata of ~ 81ori.ds~~at . . ~ : ~ ~ ~ ~ ~ ~ . R ~ ~ ~ ` ' ' ~'a f~ ~hllt~C. 3h~ 0/ ~ ~;~I~1 ~ ~V~ ' ~ . '~E~.a MA? ExA+ns Wc. 5 196'j ~ V~ ~~a~ . STi~,° 9°"e'o ti? Nau+ea+r sw~q? r~e. oa N. tr. • . . . ; _ , ~_:....~F,..,~...~.~ ,.,x~~:,y.,~~ .g.,.s~~..,~.~...,-w.