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C [ COUNTY FLA.
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_ Cl.ERK Li~;;UIT COURT
REC~R~ =cF;~p
NOY 13 $ S2 ~'15
A~ F I D A V I T 3
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Oa thiA ~ 6th day o~ N
v mber ~ 1975. befose me
J~~R. VAN ORSDOL ' ~tha uadersigned offices.
peraonally apgesred PAtJx,_
U3E . kno~n to ~a (or =
sati~factorily provea) to be aer~?ins in or vith. or Who~e dutiea
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require hie preseace with the ar¦ed fosces of the United Statea,
and to be the persan who~e name i~ subacribed to the vitbia •
instruaent. and ackno~ledged that he exeauted the sa~s for the
purposes thetein c~ntaiaed. and the umdersigaed daes fusther
certify that he is at the date of this certificate a coa~issioned
~ officer of the rank atated belov and is iu the active service of
~ the armed forces of the Uaited States. -
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31 tura of Co~i~aioned Of icer
i ~ • V~ ~~k ~ R. VA~T ORSDOL
~ \ ~ Advocate
, 4 ~~~i~ G~ t~ pta.in, USAF, -JU~lg
~ m~~ (l` ~ nic of coaoisaioned officer and
q r~ coaaand or braACh of aervice to
~ ~.~0` vhich afficer i• attached.
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