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HomeMy WebLinkAbout1694 S , ~ ~ . To1 2Ck,tlc d~~ Circuit Court ot ~ ~.Gt-'t . _ . . _ . .County. I~ ~ ; . Z 1SLe J~ - - ~ C.t~ lrw~ ",wt ¦ cou_rrrr~ . n•.wc ~ , . of . 1r-~+I.M . bom at......_ sC.~"~k^n.~.-{~5~~--"'-~,-•-..._....., ot? the._..._~rY_'._~__.~.c.._~....__. r _j _ da~ of ..I~~-~•'°---...~ 6radusted at'^.~~!"`^... ~ ^ ~ S ~..L.l.~1Q. _ -__...._......_--•----(""'_'____I-__.. datc~!!~'r."°~....___ . oou~ca ? v.ho, being ~+uly sw~om, sa~s, I am ehe person rwmed in the loergoing ticune and the pernon named in the diplonn which 1 displayed ~ b~~(~uc thr Cxamining B~ard, aad am the lawful poa~cswr ot same. I have, betore teccivin6 thi~ liame, oomplicd witlt a!1 the require- ` 6 rrn~nc: to ~hc cxamination ceqwred by law : ehat ao moner has beta paid [or wch iioeme, cxoept dre r~ular fee p~id br all applicana, ; and ~hat no (raud, mis1cpreseatation, or mistake ia any material rcgud was empioyed by ~ or occutred in ader that wc6 liceroe = shnuid b~ ranted. , ~ ' g ~..7 Signed .............~~.["4~\!--.Q J..-------....-°--•- : ~ ~r-. COl'\TYOF_...... ~ ~JC~ti`2'K/ ; ,.t1T., ,t........ . . . ~~C ST.~TE OF. .,,t~. "'i..r._"" ' f, , . - - • - • . ~ . ~~f~.. . y~rt . ~ ` 1 • i . V" , S~~i+ed".=~ s~ !~E~mE me ch?L..---._._...__!.. . - - - .a,r o~.- 2_^^.~C ts_Z - " ' . ~ Z"~; ' s~ ti" ~1 ~p ' , . . , . ~ : + ~ ~ $t6naturt ot OtG[cr ~1~._-°• - - - ' ~ . ~ ! , i¢~j C? ~ : ~ ~ ..w(/Z.c._ ~ ~~:+e `1 ~ . . z ~-+t~-..,.~-`.~ .h. -~x.z-vu~ - ~ ~ ~ - '/,}f•tn^~`,-'. /97i ~ _ : , ~ SZ'ATE O FLORIDA r I. _a'Q~.. Ckrk of the Circuit Court ~ • - - f...~ ~ Co~~~rr ~ in and for urd Counq, do certi(y that ~`Z-'... _ 6 ~ of-.•--- - ...._..--.•°-•-----.has t}w day reEistercd che forcgoiaa e a licenr ind Affidavit in my office. ~ ~ SS: my lu and the ~eal of said Circuit Coun at ~ ~LY ~ /~~t'-C~ ..~~L/~-L~~ a-- ~ - - . _ _ . ~ ~ _ _._...day of G•-`~/~' . . . 19l~~ u ~ ~ 4/ ~s~`C Z 'Z.. ~t ~ . . - . ~ ~ - ~ Clerk of Circuit Court. ~ ` ~ ,~~0'L ~-~`L~~ a ~ ~ r.r... . . . o` ~ _ ~ ~ • - Ik~puty~Ckrk. ~ ~O , - a ~ s`~ , ~ ~..~--d ~ ~ ~ • ~ ~~s _ \ , ~ .i. ~+wv~ ~ n Ca~O~~ _ • .i I.. ~ ~t ~ ~ ~ i . - jo ~ " ~ ~ ~c ' _ • a . ' . ~ ~ ~ ~ ~ ~ ~ ~ i9i ib~ ~ ~ ~ ~ s~ : _ ~ _