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~~~c~~t~~K~ ot..__Saint--.Lucie----------- - --------co~~,. t,.James .Edward.--C~l~d,~Tr•~
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ot...... ila.~__:.._.Pa..---------~---~-------------_...__, ~c.._Pr iladel~hia,._.._~Pnn~ ~.::.lQa~l~,~ ~6.-~4.-~_Q____. ~
~,?or....Jur~e 1930_.__._.__.__ Jefferson Vedical Calle e~... 6~11- . ~
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, graduacea ac_.... _ . _..__..__.._..__..._-ienic~i: aoi.~:ECa_~~_Q_ aacc...___-
..-ho, being duly sr~-orn, says, I am the person nanxd in t6e toregoing licease aad the pernn~a named in tLe dipbma whic6 I displayed ~
bc(nrc thr F~camining Board, and aat tht lawful posseswr of same. I have, before zeceiviag tLis licenx, oomplied with all the rtquirc-
mcnu to thc exarninatio~ required by law: t}ut no money hat beea paid for such liw~se, except tbe regular fee paed by aU applicants,
and that no fraud, misrepresentation, or mistake in any material regard wu empbyed by any mie, or in r t auc{t ~cen+e
shouid be grantcd. ~ c~~~v:
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Phil~.delpria ' •
COL~NlY OF-"'-"""-'.. . ..-'-"-"---~--'•-'-'-"•"""'--w....'-.."..."'_""' . L~
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Pennsvlvania ~ ~ •i ~ - =
STATE OF._ ~ • ; ~ . . , :7
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Signcd and sworn to beloro me this_.--•---- i~llS`_r-------_....---°...._dajq~
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.SigllitUlC Of ~rlttl. _ ._....-_~..,r
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Ir---------.___ Ckrk o the C' 't Court
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Cocxrr o~--~--. m and for sa~d tP, - --..ti _ .~---__.r...~ -
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' " - ' - . .},a: this da ' red the f
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, f License and Affidavit in ary otfict.
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,'i. "GC~ TNE$$: my hand and the sul of said Circuit Court at
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