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~ ; ~ t f ' t . t ~ . , . r ' . i ~ t . ~ - ~ i ~ ~ ' i [ " ~ - ~ ~ . . . . THIS NNAIiCltiO STATfMENT b p~s~nad ~o a filiw~ offiar for f~i~q prauawt w tM IM~ifonw Cawiwwciol Codr. Mawih ds1~ fd awr): 3,~.~i~ W ; 1_ D~Mor(a) (t~tf Neiw~ Rrst) ond addr~ss(~s) 2. S~sw~d ~arh(i~s1 awd od6~as(w) rw ~.7~ ON's~r I~TCL`~AND R«~) ~ gay~wn, Harr~ T., ~ dr. ST. LUCtE COUN ~ = 710 H~rie Ate. FLd. Ba1vx oF FT. PIERCFi : RECORD VERIFI~p ~ Ft. Pi~ro~; F].~. Fs. pi$RCa, Fia. j~t~~ ~ ; ~1 MAY S AN .9: 5 - ~ TN. Rn.,,ci~, ,~.A..uw1 ~o.a, f.q.,ri~. ~.0.. (w H.wu) e/ p.oO..~p: . - . Y t~ lt~x Wostingho~~e BB~o. Rsfrig.s Model Ho RJ~ 64, ~p~,~~ ~oiTRaS ; Serial No. SC21~.968 i s. ~?s.tOn..la i f - ~ 6. Chwc N trw ~I ~~~~d 61 ~~yM~ ~Ol, f.t. h~w bNw V1oo~ w tl» M~w1~xl~ inaMww~MS a~ewnd - ~ MnM. ~d wriN b~ pleo~i ~n syr ~ddilioMl «r aWhr irtr~w~e My1 wr~ M w wwnd. ~ t iM s1~M~~M R fiN~ ri1~1 11r d~A1a's si/aMre~ W~rfw e wcriGh iN~wat i~ odMMnol. (Ch~! ~ N s~1 - O Akwdr ~i«t a e+~arih sw+«Mt is wedrr Fwhdk~few ~rl~ N~ras Mw~hf bwe tNa stel~. - Q~rMcA h M~~ ei dw ~ri~iwd c~Nal~rd MwiMr in~ i~ rhieA e wewMf i~Mwhf v~as i~ri~ct~+ ~ CMck ~ i/ cww~ ~f Ce1loNerl ar~ dw ow«~. h~ds oF C~d ar~ dw corMd. N~. ef ~idfliawol SIw1s p?~a~wMd: e ~ wiNr. ~ - ~ { # - s i ~r y: • a) ~f • SiM1w~(+l ~i ~srh(i~s) nANO ~ FORM m~!! V+fia. Co~y - Alp~ ~ ~ A.p...+ ~f T.. ~...a. S.v.~o.. ~f S+v+.. Stot. ei FI«~ie ' _ x;,~,. j~~ - -r ; -~C az.. _ ~