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HomeMy WebLinkAbout0003 : _ S t LL~CiC r~- R• i~l'11~ %1( LC}'C- ro c~e ckh d~e circui~ caue of.._ riw~ a aoui+iir cau,h. t, ot..._ .--,s <i~s~ NFcc~v~ IVJ ~~!J?eomu--C-.-..t n:~bG..__..._ `F?tUn;..:.._ on tAr.... ~~-`!J`--J j~--- . ! . dayof. ~cI /~fi ~~tedac._`...!:..'..~trz~~•/z. ~E.[(t.H t(r~.~I:~ _~_/~r~~b 0 • ob~.uas ..ho, be;n6 duly sworn. ~ayt, I am the penon na~ocd in the fae~oins IKeroe and tlre penon named 'm d~e dip~oma whic6 I di~p1aYed bcforc t!r E:aminin6 Board, and am the law[ul po~or o( same. I havc, befote ieoavins thi~ iioe~e, c+omplied Mrith aU tbe reqvure- men~s to the ezamina~ion requiied b~ lar: that no m'bx~r ha~ been p~id far w~ lioede, esoept tbe rqular tae p~id b9r aU applic~e. and that no (nud. miuepiaeabtioo, or miaake in aap material regard was anplored b'1 aqr oae, or oowned, io ocder thst sncb Game ffWUb bt [td. ~ ~ ~w'., E~ ~ ~;(l (i , t:',:it~~~~r~` . . , ~ `~d--...____ ~U.L.`:~ R .....r...r_~CC~ s ( ~S~ ~ .:`',r'.C;~.t: ,f.~~r_ , ~:OINTY OF...--•-••---- . ^ ~y S~ ~.a• ry- • I - `y'-S ~ : . • N~W ~ 4 SC~ ~~i a'` ~ r~.: , . T~ ,,,r: . STATE OF._ ...._...r.~»______ , . . / {`Y . ~~i { Signed and swom to before me thiL_._~...~'..Y`~_.•••-------•--- ol.....__._! ~ ~~-f~ ~'~e ' / d,°. ~ ~ ~ ~ ; - 7Zet,.>_ f si~asa,re oE ar ~.L _z.._.a,.~-..~w.- . '~f:~ : _ r. ~-c~--~----~ . ` NOTAR!~ _ . . ~ r 1~Y Ce'~rr: s~:'~'t~ ;-'•!'.~7,~f'~:i,a?` - - _ , ~ ~ _ -i ; - . 3 9 ~ Roger Poitras. _ ~~~~c~~~ 5TA'PE OF FLC~RIDA ~ I>--- ~ St. Lucie Asoka Wijetilleke,M.D. ~ co~~„r o.-- - - - ~ ~a ra ~a c~,ti, ao «mrr a~_._.___..._..._...___--__ ~-------Newark, J .----J ~ a.~? ~a ~ r«~ i.;«~ ~,~a erra~ri~ m ~rs~. ' , : _ wI1NESS : ~ ~a ~a ~ .at ~r .~a c~,~c c~ .t Ft. .Piercel Florida ~ - ..............---~--------~-------~4 ~ ~ 31._....__.._---__-._a.r ~r____..Decem~ r ~9.___.... . ~ Bo er Poitras Clerk ~ _ ca«~ ~c - ~ Y _ . s. _ ~ ~w, . ~ _ t= n~ti ca~.~. x fIIEC ~k` Q p ,,.i. ~ St. LuCiF C~UNTY f~~. ~ 3 ~a~ ' ; aacE Q ?e~Ta~?s ~ . _ CLERK G?=~UIT COURt ~ ' - - `r•,•. RE~~a~ yrti : ~EQ S . : ; ~ ,za = ~~:~::~.1;_: ~ OEC 3! l0 ~a A~ - = - ~ - : - - ~ 2~33.~0 i ~ i r.•~.. ~ ~ ~ . ~ ~j n R 5 ~ ~ -~~K 23 ~ 3 : ~1~'~ ~ . .:ry. e.`~'...... . ~ . . . . . . . ~ . . ' _ . _ . ~ :