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f ~ ~ ~ _ - . _ _ _ . - _ _ iN15 fINANCINO SiATEM~iT is V~~~ M~'' oHic~r fer filiM ~rrw~M M eM IMi(anw C.~..n.~:d t.~.: M.w.Nr +.w C~ .~r1: ~ 2~r~~+ t D~btoris; ;teu lMst Rn~) awd ~dde~s~:«I S~cw~ M~(i~s) ~wd ~ddr~ssl~s) t~. .r. M.~n, wr iTN OK:eq Vaspara John Bon~sd TN Service FIL~O ANO RE.COROEO' 120 !t. ~2th St. 111~5 5. Fourth St. sT• IUCIE COUNIY, fL,A. R~~oi~~~~P F~. pieres, Fle. 33b5o Ft. Fierce, F2a. 33450 . r~~. ~:n~c~9 .~.u~..s. a..... w» F.a.w:w~ ~rr.. ~a~a) d r~~~ ~ ' ~ 8: 1 ~ Zenith Fort. N Koda2 235~41. ~r #529~39b !TR ~ _ ~~~K ~NK P. O. BOX 8 e c~ ~ w.•?. ••«~••s r. uw~« ~o~. rs. h... w.~ w r•«~•••n M•~w••~~ FORT PIERCE. FLORIWI3 3 4 5 0 A~r. aw~ ~?i N OMc~ w~w1 ~i~l a/ siwrlr iwMrw~waie Ihd ~r w w wtw~/. K~MNwww~ is lil~ vr:~M ~M i?~e's ~i~Mw~ N Nrhe~ ~ s~wr?iqr iwMhs~ w a1Mh~d. iCAKt ~ N w) . AbNdp ~.Ma N•+«vriryr iw~.w~ w~Mir iwiiisAa+ ~rMw M.u ~.~wM iiw~ tM aM~. ~ MIAieM ir p~a»~ d/M ~r:~iwd c~r~l ~aa+fd ~N+~ iw ~AkA • ~cw"s1r iwNrwt vrw Nrh~M~- ~ C+vc! a.r~: h~swM ~i GN~vd ~w dw av~n1. hMKw ~f C~M~wd ds~ o~.~. fN. ~1 ~i/:KwMI flw4 p~srM/: f:led witA: goncled TV S~rvice ~ . ~ a.~s~ts ~t ~1 ~ i'pM"~f' ~ , rsuic f nv++ fTAl~O ~ORM - lORM tICC-1 i~if~y~ Aw..~.+ t.. A~.n.. s....... d s...., srM. s1 w..ir. , - ~ ~ F ~z~.w, ..e_:u-~._.. o ~ k~ ~~~'X..r~~.~ _ ' v~'s, ~,r~ .