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HomeMy WebLinkAbout0648 PROFESSIONA~ L?~A1SB ~ Mc~ 7'o she Ckrk d the Circwt Court of ~OII Henderson JaR?es Cleaves _ .Co„aq. I. ot~~lb Shawnee St. ~ Phil.~._~ Pa• ea,, ,c EM%m~ Fla. ~~e.._.. Tth----._...._. a,. June, _ 1~9~R1 Hahne~narm._ xed~_ ~01~,~~ Phila,~~.,._ d.a...J]~na.1}_.]9b3 _ Snauaced ac.. _ . . _ ..ha.. ~+e+n¢ dul~~ s~+ora, sa~ I am the person nsmed in the torc6oing lice~ue aed tt.e petsoa n~med ia tLe dipians which I duplaycd b~-t„rc t!u E~cam:ning Board, ar~d am t!?t law[ul poases.or of sa~na I have, before te~ttivina tlus liccme, tomplied wit6 aU the rcquite- cra-rsic :u th~ examination rtquictd bp law: thst no monep has been paid [or wch '.Gcetne, c:apt tbe re6ular tee paid br aU appGcsna. and ~}uc no fraud, mi:reprexatarion, or miitake ;n ~,+r ~c~~ ~~.a .r.s Gn~a br any ooe, or occu~*ed in c+'der t}ut such licccne shouid br qrantcd. , /f S~e ~i ~ ~ ^ ~ . ~ -t.~+'~ G~'a 6~ ~ / ~,,.~~~.a.a;.,~ . : ' Cot-~T~' Ji . ~ . . - - _ _ ~ ' ~ ~ ~ ~ r ~j , ~ ~ . • ~ ' "j. • ST \TL OF . . ' ' - . . . ' • , C, . , _ „ , 7-a ~ f •I a , . Siqned and sMOrn to beforc me thi~.-----•-----•--~...~ --dar of~ 1~ ' Si6nature of Officer....--~• , • , ~ ,Y'' j J,: . F~.. ' r l. ;r ~it+ ~a ~;rrt t:., :t~ ~ ' -r ~r , , :a . t' ~ ~ ~ ~y , ` „ • .t.~. ~s,.~ ~q' N -e ~~e:oq STA"I'E OF FLORIDA t j, ._._Paul F. Hartalield C~rcu~e Co„rt - - ~ . . _ - - 1 c~~~ .TM of kon ~~n ~d to~ svd CCamq. do «rt;tr chsc.---Henderson__Jaeea_ Cleayes___. d_ PhilBdelphia,. .Pa..--------------}~ cluw dar iegiscard che tores'~a ~ ~ L;«me ~~d ~ffi~~c in mr of6ca . • WI'j'[~IES$: m~ hand and the ral o( uid Circuit Court at .._....__Tallahasaee.... Fla. - -..2~Lb dar ot .......~~x~aelbs~ . . j9 T0 . ~ - -Paul.._F.----Hart.~f ield . - . . . . ~ ~ Clc of Circuit rt. ~ r. ~ . . ` . . - - - ~ . • Ikputr Ckrt. `a - ~ - > >t7 - ~j, o ~ ~ r ~ ~ _ ~ %n ~ ~ji~C r.+ ~ -n o c~ 1`~ ~c ~ ~ ~ •i v ~ ~'1 o< • or-+ .~~,n~ a~r 11/~ OrNO ~ _ ~~m _ v~ ~fl ~ O?r- ~ V n y ~ ..c ~ Z .J~. ~ /y~ W : ~ o /h c~i ~ a., h' t~ V/~?~ ~~~pV,_, ~ Cv~+n b ~°i~ ZV~CI~ ~'~fm 2.7 ."}7!'!_ ~ 1 ~ ~ qWW{.+yr A~n ~r fA rr - ~v~ ~ ~r~ ~ OC ~ w~oQ~ to coH i.o =s~ .,J J~ W p~ f~J ~f r.Z p f ~ Wy JjG ~ _V v ~ 1~ V ~ i, s~~~K ly4 F~~8 ~ - - - - ~ _ _