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1 ' i ~ ~ 1Nt3 FINAlKlIIG STATEINENf is pna~nNd b a filiwo oFf'wr far fiGn~ pwswM b tM 1lwifoew Ces~w~rciol Ced~: 7. ~AwwiM daN (if my): 1~2 t 1. O~Merlsl (loM Naw~ first) aed ~ddr~ss(~s) ~ S~cw~d hAf~iM) ~wd ~ddrqi(M~ hr f?+f Off's IOM~. Ti~+. N~ir. wi fi~ ONiay Oe r FIlEO AND RECORO 9aith, Joaeph and tirace Sportaraan/~~+~, Ir~c~ -ST. LUCIE COUNTY t 11~01 Ot~nQe ~venue ~312 Orenge Avenue RECORD VERIFI~O Ft. Pierce, Fla. 33b5o Ft. Fierce, Flor~do l~~i ~ ~ ~ '6T JUN 2 AM 9: ~ 1. 1Ks fi~awcNp s*o~«~w w.ws Ib fellowiwY ~fws (a iNwr) d ppu~r: . # ~ ? new 196T E`?intwde 1W ~ Ktr Mdi #100783 Ser #03271 ROGER i~01TR~S f nev 1967 Olynnpis - 19~ Bcat Hdl ?Ri-19 Ser #?026 s. ~..;~..c.~.~ s nev 196T Rocket Boet Tra iler Kodel . F7 - Ser ~°7103-bb-~'? - - . ST. LuC1E OOl)NTY 81WK ~ - P.O~ eWC 8 ~ s. c~ a n» ~..v~ ?r c~..~« soi, r.s. w..~. s... ~.h+ w~s••«r ..~••e faORT PfFRCE. fLARIQA 3 S 4 a t A«.?r. .~i .ia~ w ~I.aa .q .~dia«rd .n+ .iwu.. t~.tr..«r +i.r ..r w w ..w..a. ihis alalwwwl i~ Nbd ~ifMM Nr /~bN~'~ si~uw~ 1~ p~rhtt ~»wiqr iwMiNf in co11~1wJ. (CMck ~ if w) ..•••f,~~~~~~ O Ak~e~r wbi«f ..aKcer Mw«~ Iw .w.ll~.. ~ri.ak+io..rh.w it ws e.wpw i~w N~i. .~d.. •r • _ Q~rAie! i~ ~?~~t ~f NM ~i~iwd t~N~Nni Mwi~~i ~w i~ rrl~icA a NswiRy isNnsf w~ prf~cNd: ` Cj ••TE•,1 . : CMcti ~ if cw«~: hec~~ ~i Co11~Mrd ~n abe cNw~d. Ir~drt~s ~f GNWad are dw cor«~. Ne. ei ad~riond Slwea pe~ii 0. ~ r~.a~ 6 t sc c~:.~ - ' x ` ~ ~ ,•••'s,; C. . . f. i: • f;: ; • ~ `~n•.....~~~•` - ' N i fi~wMwNs) ~f O~A1~r(~) w~ y 1 f1? f~e! ~~+l~ .~~~~~~~~e..d b Taw Adew~. Sw.eerr of S ws aF Fto.:da - s - _ .