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'i - . I f r?as ST~t~eR ts w.s..w a o~c.~ .tec.. h. Fr..~ v..sw.~ a~. u.~~«. co..«c~e~ cee.: a. reer..ca ea. l:~ .•il= Gbbr(sl (lest NeM FiM) a~d edMssl~sl 7. Sec~rsd ~erf~rlinl ~ oddressl~s) Fw f:!:p OH'~c~r (O~W~. TiM. l1aMr, aN H1iN 0160) . r~ , r.- r a FLORIDA BANK AT FORT PIERCE ~0 ~E r:.,, e,_+ r.,_ ~ P.O. BOX3469 ~~~1MN~~ ~ , „ ~ : T- ~ ~ ~ ~ r n 5 O 1 ORAN(iE AVENIlE ~ CIE~L C~CnI? ZO~t . _ . ~ . _ _ PORT PIERCE. FLORIDA 33450 1t~CORd ME~IFIEO~ ~ - ~ . n n. C ~p .~--p 1 r~ ~ ~ ~ ~ 4. TLis sNM~r1 w/NS N wNiNl Fiwe~t~M SNN~W bwiM File W. T~^-' - - - ~ n ~ ~ r, 1-~ . _ } 1 ~7 ~7 . Ri~ ~i11 ~ ~ r ~ DoN fiNi . - . H - 5. ? GWMdiM- Tk~ ~risrel fi~suw~ sqNw~ bN~w IM hryeiN G6Nr aN S~c~+d ?erf1. bw++M fiN ~~~b~r sw~~ :s sGll ~ff~cfiN ' - d. ~ T~iM. S~cw~d V~A' » I~oNr cla~s e w_w:f~ idwrst ~~d~r /M 5~wc+iM s1sM~t OMriN 6N ~~~ber sM..~ eb~n. 7. AMi~~f. Tw t~twr/ M~b's riyN ~~~M ly f+~a~dN tN4~wt S~eriM Sb w~~?N tM~e oMr~ h Ilr V~~~T NKriMd i~ 11N I1 Ms be~r ~saiWMi ~ N ~M ess:f~ ~s~ wM wA ~NrKS ~oo~ i~ IN~ I1. .t 8. ? A~wir~t. fiw.tiy S~MNMI l~eriM 6b N~6~r sMow aM~~ is o~MdN os sM terl~ i~ INs 1/. i 9. ? MI~~. S~twM ?ertl r~t~s Ke ceWNrol Mscriwd i~ 11N 11 frN IN R~o~ciN stah~awf Meri~~ ('il~ n~bw s?e~n aM~~- ) ~ o~j w~ t1 x.. Au Mc....~.n N••o Ms.+ b. ws v.fow « w r.co.. b. e.~ v.r.w o.n.w a tl~epM. 2ot, f_ s. Ae.. w.. w:a. 11- i w ~ r ~ • ~O ~ . ; !M. N ~/lf:wt ~MNS pesMNd= _ ; ~ 0 R %'A ~'~rr~:~tn '%a..(r c ..s- .rnr : - - - ~ i - _ f s,: a= ~~~i~Cl~[F fC~. ~ wtw~ .i • (r) •ws+«r a~h H 1~. ~ is ~plic~w . SisNb?el~l~/ ?r+t(iesl ~ STANDARD fORM - FORM tlCC-3 (1) Fling Officer Cop~?-Alphat~etiea) •.r•.•+~ r.~.+ ~o:~s~ s~«.. S~cretery ef Sfofe. SfaN cI Fbri6a ` i ~ - ; - - ~ = 4 _ ~'1 .~3 ~ . r_ '