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F ~ 3 . ~ i . ~ • . ~ ~ ' . F j . . ! ; _ • i . ~ - . ~ ~ - _ Ii _ ~ - f f s_..-..."~~..._......._i._..~_"'__`__"'.~_"`_'~~~„_' _""_.~~~!-~.~.~...._-..-~.~~_~~_.r~'_~.--+ TMIS STATEAAHiT is pns~wpd ~e a filiw4 oFiita fw f~i~g prravoet a tM Ueiforw GawwMrcid Cod~: Mo~wity do» lif ow~): 1. D~Ww(s) (toq li~w~ Frst) owd oddnss(~s) 2. S~w~~d ~wlylial ad addr~as(~s) ~~s p~ - ~ST, L,UCIE COUNTY FLA:''~~ 608 paoa~tt ~rsms ST• LUCIE OOUMY BANK RECORD VERIFI~O ~ 6~. ~~~s, fi~. ~ P. o. eox s -154oso FORT PIERCE, FLORID~A 3 3 4 51 ~ Z ~ P 3~ 23 na. .»~«.nn ..f... ro e.~d f~owdna S~o»w~ b.«~wy FI' JtII. ~ L R 0 v E?~ i'0 t TR S f;,.~ ~t. I~nais Oonatr . Fla. o,~. R,.e CLERK ` S. ~ ContiMrotion. iM aioiwd iinonciny sbNwwM bNvrwn tM lorpoip D~Mer and Senw+d hA1/, bwriwY iiM ~w~b~r slww~ aboti, is stip df«tiw. ' 6. l7 1~inaliow. 3~aw+d PaM ne IewyM cfaiwr a s«wit~r inbnN und~r ~M R~ncirg uaNwrwt !w?ieY fiM n~b~r sl+own abe»- ' 7. ? Assiy~M. TM a~nw+d P~l~s ri~IM awdw th~ fwiowcirq std~w~wf ~ bwrwq fiN ~w~bn sAovrs abev~ ~e tM pop~Ar dya~d in tNw 11 Aes M~w ms4»d - a shs os+iyn~ .rhw~ wai.. awd addrus uPP~a? b I~.w it. t•. ? Aw»ndMnf. F'w~ciwo 54a4~www1 b~oriq fiM rw~wbr shov~w obow b owwwdrd as wf fx16 is Il~w~ I1. ~ ; 9. ~ R~I~aM. S~cYr~ My r~hawa N» oeilalKd dewib~d in INw 11 Irow~ Ily fiwowoip alaM~nt wariM fiN ~bM sMrvw abow. . . ; 10.~ CMtk iF hw. AN d~uw~nlvli s~awP ea=K dw awd PoY~ a a McowM dw and YayobN P~ a CI~ 301. F. S. Aow bMw peid. ; li. ~ . i-~ i~T ~ c,~ier z~in?i.i~ x.a.i c~y s~r #15~7~ ~ Ne. d od~~ia~l .h..~1. a.,.w~.a= - ST. LUCIE OOUNIY BANK ar. ~r: .P. siy~owr.c.1 o.iq.(s) (~u..+a.r «~h if ~N.~ ~ b~VP~icaW.). sq~.r...c~) .f s.oM.+ ~ STANDAR~O~ f71Gt VVl~r (1) i~l~ng Offi<ev CrpY • l4iphab~fisd AvV~w~d b TOM AGAMS. S~aeewy oI S+are. S+a» os Fto.;do _ ~ _ ~ _ t _