HomeMy WebLinkAbout1562 St Lucie I Dino Richard Boni, J r.
To the Ckrk at tAe Circuic Court at ~i aoiiiiiir CO°IIti'
ot... Sat~llit.e._B.~a,~._Fla......_..._., e~n u_........Slovan,..._~enns.y.lvania ~ ,~,_l~._.___.~.,
~ooa~st
d,Yo~_._March..1944__.__.~~~a~ _Meharry Medical_Colle~e, Tenn ~June 1970
~n~c.~. aoL,~os
r?ho, beins duy sworn, uys, I am tbe penon named ia tht toresoi~ liccase aod the persoo namerl in t~e dipioma which 1 di~plaf~ed
bctorr the E:aminina Board. and am tbe taw[ul po~e~wr of same. I hsve, belore it~ttivit~ tLis liceme, complitd with aq the rtquirt-
mcnts to the examiaation :equi~td bp laMr: that no moner 6a~ been paid [or wth 6oetie, a~oept the tc~ular tee paid h'f aD app~can~s.
and that no traud. misrepraeatatioo, or mi~take io aap macerial regud wat ~Pbl~d b~r aqr ooe, or oca~tred in ade~ that wch Gcea~c
should be granced.
.
Co~ xrr or_.........a r~.X~ r.i~..... J._.
Florida ~
STATE OF. _ . . _ . . ~ ~ ~ - ' ~ - ~ ~ • .
- -
Signed and swom to betore me this._..__..~....._~~~1-•--•-•--_--.------....dq ~-~--w-----.A.Llg-WS 19.:-:.Z2
l ~ ~ ~ :
Sianitult ot OtPioti..---•r».~'~.`_.~A"t~C~-Y-
1L~~ • -
Irtrr fu.hic, Sw~ d l1ri~ ~t l~e _
My Go,ais:i~ Expirs ~ac. 12. 1l73 ~ .
_ , F.~~.. b A..k«~ 1r. t c..wler cw , -
~ .
STA?E OF FLORIDA ~ I: cterk ot che Circ~ic court
CovNrr oi.. t in and tor ~aid Coun do certifp that__..--------------------_••---••-----•-----___.~...----•-
h~.
t
ot...-.---• . ...............--....-•----......._._.....----•-•••---_..__..]»s this dap tc~stered thc toteaoias
Licen+e u~d AJfidavit in aor dGoe.
WITNESS: mr hand and t6e feal d said ftircuic Court st
..........................•---_..-----~--day ot..-•.--•-_.------°_~.____.......-----••._.----•---...----, 19..._.
. . . -
Ckdc of C'arcuit Courc.
. .
.
- . ~P'4 C~
2~bOy~
R
~
=_r'~
~ t
-~-~r.
••1 - a s T
~ _a ~'~f
A
~
~ ; ,
, ~o ~
~
~
.
ry~~~~~~,F~~ . - -
T ~
~ ~`P~~`~ ~
-