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HomeMy WebLinkAbout0290 . ~ / a3 )~Q~.~ titat~• of Flund~ CE1`~T~ciC'~ i~~: DEA i H Ilrpartment ot fi~allh and ItPi~abd~tative ti~•rvic~•s ffTATE F~IE No vrr.~L sTn~•~ti•rt~~s F L O R I D A _ . AEGISfRAp S NO T~PEORPRINT otce•sto-~+.+.e .ar~. . . SE~ ;Wti U~ OtUH ~o.... o.. ~ aERMANENT ' _ __Jo;t?t _ _ - - tt~. --__,-_-,V~6~e ~ ,Hcti e ~ J~trctrtns 9, 1977 ~ OLACK (NK faCE .••n. +~aw ..~~a•. ~.r,.. '~GE , n.~_ ~wa ~ o. T OI ?~~lr~ ...o~.~. ~COuat• •h. ~ vu... ~ ~ - . _ e.. O~ DE ~ ~so.. s..f ~ rw~~ , •~u. o6d? • tvhi.tc ~4 _ . ~w _ ~ .4ccn. 21~1k92 ct. Lc~c.c',c ~ Clt~, tpvn~ W 10CA(IQN O~ OEI1fN ...~+c~ a.n ~..~i~ MOS~~IA~ O~ O1NEi Nlil(UI~ON - ~N1MI ~...r~ ~ra~~ .~e ..v.~~~ : r sqt .H M MO ~ ~ • . ; ~ Ft. P.ichce yes Eastc~n ~S~T~ion Ncinsl?1~ 1lomc ~ 31/1T! O~ ~~~M.r ro. ~ s.. r..~ UOIlN p~ wN41 (p~~l~? ---1wuN~lO. Ntv[i MAY~$D ~SU~vriNt: SrOuSf c,.~ ..e~.....u. ~ . ~ • cown.~;-'- ' ~w~ ~wFD Qvp~f~tO~vtcr.. ~ . ~.~.~u~a..~~ ~ ~I(LUi(! • u.S.a. ~N JYi1(1l.C~?A Fe;~riicc. CQ•t.ti , ~.a~~ ~N~.a• . . . _ . , ,~.~o N~M SOC~~t SfCUtli~ W~Ut~ ~uSuAl OCCtI?A~K7N ~4~~1 ~~O M~0~~ i(Mf 0.f~.+G ~tr p'1r.0 Or h1Su~tSS M ~?tx1Sn~ ~c~wn~ w ~ .~ow«+~ nn. ne.. ~r•~~~o • - j ~,,,.wb-.~^~ „161-09-7683 Ers inccn ~ I ~u•w~+c~wroN ---J- ~ ~l~ i~~QC~iQI1~C~Q! - - - • ...a,m~:~. ~~...e~ iSr~tlt wND Mu~+?1~ •n"•~"~'~ ~lS1OtNCt--SUI! ~COUHTr ~CO~. t0'+YN. J~ 1CKAf~Ora ~ ~r. ~ r ~.~r.i. .r~ o~ ..n .f ' FPonida ~ ` ~ St. luctc F#. P.ic~rr~~ V,•s 2115 1+i~is t't. ~ IA11„~--N4Y/ •r~N ~~pp~1 1~1r MGIH(f- MIKHHN1Mf ~~~fr ~.pp.,~ . I j ~ti JCUTIC.d C. ~~~0[`( CQrt7i; fdIln: . f U~~ORIMANt-MAMf :~.~~ir.4 AilL~I1S ~~rurr v~ ~ r o .+o . a~• 7 rr.~•• v•n. Iw ~ ~ SehrtiCC NnbPe 2115 tf-iPi~t ('t. Ft. i'i~.?~c~ Fi~~7i~iR 33:iSt? ~ ?ur i oEwt?~ wwi cwusla ~r ;t..u. JN. / lJ$ C4U'A HI /a1 :e~. ~sy. w.q p~, •••-•°i•• I . ' . _ _ . " ' . (l~l~t ~tiY M~~~ ' N ~rM~N I~VN ' _ " _ ' ' ~ _ _ . . W 1 iW _7~ ....w ~ ..i--~----r-'-~---~- ---~~---t - ~-r~~---~ , ~lt~.c~o%r:J' co-'.i,.:. N.-~ J%~. ~s~c, y~~itop~iy w~th 1J„pe~t#cr,ci.nK . :."..,,a.,. • . ~ ~ o....,,..o J~.,(l;~o.~a•r~;al 9:::..L:,: C;...;y !1 i - ~~w~0~~~! C~Y1~ 11~. ' - . . . . " . . _ . ' ' _ . ' _ _ • _ ' _ . ~I~tIrG tw~ Yw~~~ I M t0. O~ ~[O.~NaH~~I~ . ~~rr~ (~~H ~ kl - - - ~ ~A~/ ¦ OiN[~ 51C.MtlKANT CO~q~IIOUS ~b.ae.o..s <e+nw.,e...~..o c~... wr..~~ .~~.•~e .u u.u o..r.. . u, . ~AUTWtr ~r ?[S . .e~..a~ ~e... 1 t r(I. ~ ~~J~1~o ~ti M~~~w.r~rG (~YL f~ ~ OI ~~~Ir I ~~..+..r t •c<mt~n. wK~nt o~ OwIE OI weNY - - - - ~A i0 - ~n--------- - - .w»~.. •~u. ~~i.UtN MOw u~W~t OCCUi~eO ~ ~.n~~ ....ua ~r ...rv~. . ~....n ~ y ~ »~«.~,a~. a ,,.~.,~w~o i- So ' : 1N1lMY Al W 1~ ~ ,ii/ Ort[---jR~CE Cx r~Nl~~ •.~r YM~~, ~KpM~ i IOCAf1ON . ~bN1 Ol ~ . • ro . u.• o~ •o... ~~.n , ~ ~ ~nc•n n? w ro~ io~rc~ wsc . ~~c ~wcr. ~ , . . 7A :1M : T+p CtQ~slCwiO?I-- +o+•w ~ rr.... o.. .+o ~.v .u.r o+ ~ • we~ o•r..,ry. .w~~ /M11KIlN~ ~ r(r~•w p~• ' 10f~1~M OC(Y~\IO •r w~ ~i~r~. ry,~ ~.,I fO .~Ol~ •01~~ •Y' ~ O~~I •rp N~ w~ ~~t• ...,..o.. 1967 ~/17 1 /~f 77-- - --i - - -1- . ,_,.n.. ~ rs t~i~~{IO ~~.~r it~ ~I Il~ ~ ~ 111 ~JV` ~ ~:~5• I S••M ~U e~~ (~~L.l. f•~e~[~ . . ~ _ i . " _ _ _ _ . . _ _ _ . ~ Ck~/M~ln1K~N MlOT~I II~M~~Jf\ CN CENf.~.l~ . ,v.u e~. ~n... •wr+..,.w_~o n~•o ~~~~ti~nfN tY Y'4~. ~'+f~~n~ rN ~r~~l~~.~r~.ti . C~I ti'... ~ ~fw~~~ 1 I~ ~[~~1~ c•:tW~~C (r~ V O~r~ ~r0 PV~ ~A rw r~.+11.~~ t'~r~c f~~• .r~~~• 7h ~7:? \ t' ~ ClfO/1(! - ~ta,Nf ~ .r n~ . ~ .w i .:f1 ~ ( - - . M ` or ~u.r ••~r ~i~4I! 5~~.• EU ~ e.. ~.un ~l, 1S, yaad . i,s, ~t, 1, I/. \ - I/ l l/77 ~ N1Nn~1~ ~Vf t5 tf N:u~t . ~ \'~t~.-: • ' _ ,.;~3' - - r.. 7~ ~t I)GR'. 1i ~ re'•r.J ~ ~1' 1 ni: .r._ 33u~~~. ~ iW~wl. (itMAr~CM~ ~fM~rAl ilw~f~~.. (.r~ ~I.M1J.. r~~.v ~ ~i:>UIiIH. ~..r~ ~ fM(rI~y~~ ' . t~~ n[G7.(RI ~r~.~~fiiC':i'Si ~ii'~r,i''il~7i rt. r(C~:('!!~ fr(:. ~ ~ OAt , . . . . . . er., . • , . r~rr n. . . . f ~ru• •e :~~t. f2, J977 ,l:.zi'r~lMJr:::i• _:rr: t!r~.. q,;•.~~ •It;t~.Ct. ~T=t. i'ti'~c'v, F~~'~z. s~t~,'1 V!: %%l:ll riwq~~ ry~~:i tn.ru~rsr . . - .n ~ ..•.~y~..• i~ I / j- .r ~ o.n i i~:~ i'•!^ "+!"1 F~~„ u~~: , .l: '~~;r r: ~ ~ ~ ' - . , ~ ~ nareb/ Ce?t~fy ~~~s ?o ne a Iruc anU corr~r~; ci•;-~y ot io_::. -'ec;~strar's record on fito in ~he St. lu~;o Counr~ r~e.,;:n uo~c.i- _ ment a1 Fo?~ ~~e•ce. F+or~aa. , ~ t (Y~ar~~~~~~: Not v„~~ry Un~r~;; r:~e;Cd 5~17~ pt ~i;c :.L .ut.u . • . Coun~y Hea~th De~~arhn~~m ~s art~~ed.y fILEO AMO RECO~OED ST. WCIE COtlMTY f LA. N D. M?iiEK, M:~. IIOCEa PO?TRAS CLERR CIRCUIT COURT County F~ca.ti~ G~t~cer iucot s~_~,Mr~Rp VER~F~EO.~-~---- ~ ,r/7 ~ ~~.z~~ .~16 I~J 3~ aN'1~ ~ - : . . Di~ QO?7{/~y ~OCdI Rooi•.trA~ .(~A J 35f~01~ . 600K~'~n+ PACF