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i ~ ~ S : 'j~~~~ a~ ~r3CtCi~ To the Ckrk d the Circuit Court o(.-•--~........~-~-4.~.~ .............................Cauot~r• I..~+s~'IQ_-'-.u`£~:t7 - ti~wc o~ oow+rtr on ebe._.._~~ of.. l'f i S ~ A~.v~~..~t ~~~15_tl...~•~.; botn sL__ . 1~51.!4~.I:_. . ~ ' ~ a~, or. ...p~.~.:c.......~._'~._?.'~~.4.__.... ~a~.c~a ~~.n~o,c~.~..---C~..4: ._.-~.__~.~_.....r ~..~~4i3s~-..2~._.S.-'~" . who, bein du sworn. sa I am tLe non named ia tl~e fore~oins liame and tLe penon mmed in dre dipbma which t di~played E h~ P~ ~p~ vrith ~ d~e requirc- bctorc the Facamiaing Bwrd. aad am tLe la~v[d porawr of same. I havt, befae reaeivio6 mcncs to che e:aminacion rcqoieed by bMr: that no mo~r hai been paid or w~ lioeore, e~ept d~ RN~ i~ ~~°b' and ehac no fnud, miurp~nei;atioe, or mist:be in aup maarial re6acd b'1 aoy aie, a oca~ed in o~der that wch Game should bt atanted. , ~ . ~ ~ - J~~~j• J , . ~ ~ - • ' . . ~ Si~ncd--•- C04NTY 0?-.._ • --!~Ltvl~•'~ . . . STwTE OF._.. ~~'..~.~.i1' ~~l7...._ , ~ ' . 3 : = ' 7 • • - 19_._... Signed ~and swor~i to Ee(ofe rae thi~__...._ - . . . : • . ~ - - r ~ s;~.~ ~ orr~._~i~ _ C e.~ ~ v s . ' ~ ' N~l~A9l r~Ti ~7f ~K!RlUe A1 ~A!!('~ I ' MY tOAtMI55iON EXPlRES MAY 30, 1977 i = ROhP~i *No,~ . . '!t C'c~~~ANCE UnL'EA`fiRtTElI' ~ • • r * ROGER POITRAS~ Ci~r~ STA'TE OF FLORIDA Ckrk ot ehe C~rcuic Court . ' ir......._-•-_.._.. . _ . . , David Albert ~,Q -~c~~ t ~ ~a ra ~a c«~ti, ao «n;cr CovHrr or...-U~-.". - - Youngblood~r-------~'Q.xt._..P~zcQ.._Fla._.___~. ~ ~r ~ ~a err~y~ m ~r or~. WITNF•SS: my h:nd and d,e ual ot sa;a C'veuic Court:t ~ Foxt Pierce~ _ St . Lucie County, Fla o this----8__--....-..._---~ ~F~.~.1...__._...__._._...___.._........---. i9---~4 ~ - . r - • ° . ROGE R--- POITRAS,~ MCLE RK.--.... • Z c~h ~t c~. - ~o~.~.c,~ h'~--~.?!~_.~`~.___...~n._._._...--- - ~ ' Ck`k. ~ . j, ` f . i'~.•-a.-: ,:y • ~ ~ . : .y, , :yltrrl~~~'..~; .r ~Q Q~~ `.~+`f ` S t ' ~ ~ _~,~ji ~ ~ ~ ~r~CO~`~Y~"'"' 4 . `~,`~-1~~~ s~~~{',~f, s~~l,s ~ i" ~ ~`1 _ FOCE-` , _ ~y?t Cs~t z ~ , - - ~K ~ ` ~ R~C~Qi\V~' 1~ ~ = .C'}-^: _ :~r.- - ~ ~1 J~_ ~ ; ~ ~ ~ ~ 1 l , • , : _ ~7'" : ~ . ; N j ~ ~ ~ ~d~~5 +~~41 _ _ _4r..,. , . . ~ ~ ~ ~ ~-~r.,1~ a~E"`M- ~ `~rr+"`:- , s ~c~`~tt~~~,'~'~~-~~~~ - ;1~ ~ ~ , . ,b. . . X ~ 3-t~ _ _ _ '~"-~~'~"~,',}'~a~ w''.,:~.#