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i . . ,~ ~ t ~ t111f STAlEMENT is Pr++~Md N. iiliw~ ~ffiar fw f:liw~ Mw~wl N M» UwiFww~ Cewrw~r~id CeM: ~ 7. Me~wih d~N (if wy): i. Dda.l~) (tar Ho.~ Rm) ~wd ~dM•.s(~s~ 2. Sw^d M-li~s) ~wd ~ddn.s(w) ~~V I V~ R•• ~ay ows. toi.~.. rr. w.r....r ra.~ orr..- M.n.M. Marble Canpany, Inc. s~ sar~x of st. U,i~ie county ~ ~~ F~~ _4 ~u~ ~~s ~/~ P.O. Box 1626 P.O. Box 8 Ft. Pierce, FL 33450 Ft. Pierce, PL 33454 FK~C tNt Fi COKG1'G st.«~c+E caL~+;Y.FtA RCGE'ft 1'OITRAS CLERK C1R:U1T Ct~.f~~ _ - - -- ~. Th:. d.u~.er ed«s ro..:~iMl i'.~.wc:w~ s~.~..uw s...:y /i. -+.. 453184 ~ f-~ a.• •; ~ F• •: -; --- - - - ~~ ----: - ------~-- - -- - ~--, .,., __ .,.. 15'~95 3. ^ ConfiwuofiOA. ilr oriqiwsl fiwwwtiwq aNM,w~M l~t~rMn tlw (ppoiey O~b1e~ ~r~ S~c.rnd -~rt1. Mwbq /il~ wrw~b~r ~Iwrn eb~ti, is aMl ~f(~ctiw. a~( T~~wination. S~cw~d pwf~r we lowyv d~i~a a s~cwihr «tMr~sf ~ndp tM finaec:ny atN~M b~wi~Y /il~ ~wwb~r al~evrw aAe~~. 7. ^ Aasipnn~enL 11r ~~cvr~d portti's riyM ~wd~r Nr fMwwcin9 s~u+M+~M bw~i~p 1i~ ~wrnbw sAww iow ~e Nr peq~rt~ Mwib~d iw Ihw~ II A~s A~~w easi~nM to 1h~ euiqww ~rAw~ wow~ ~wd eddrws apaw iw Irww 11. t^ A~NndwrM. Pwsntwq StoMw~M b~ri'p Iib ~ww~bw ~he~rn obo+~ in aw~wd~d m rN FerM iw Ilww 1L 9. ^ R~I~oN. S~cw~d -~nr nl~aa~s 11~ tetbNrol dwaib~d iw 1~«w 11 fraw /h~ f:nw~ti~y aloMw~+t woriiq lil~ mnwb~r dwww abew. 10. ^ CMck if frw. All docrwNnw.r .~wwp a^e. dw owd oer.bb « ro b«aw. dw awd vnrobl. PrnveM ro ChopN. ~Ot. f. S. ha.• b..w po~d. 11. Iie. ef .dditi.ed .~,..~, ...uM..: ~ I y' ~ 4 c~ i B~KJ~~ PAGE~~~ - ~j : . .) ~f orMa.t.) cn~c...« .n~ d ~i.m ~ i. >: fi~r-~i r r' aov~KObl.)- s~onar~.•;s; t»+) 4 ~ - STANDARD FORM - FORM C-3 ~ '~ ~ nFaA~ET tCAI ~'O"'a a~'~'1' d SLM. Sua d Fr,,da ~ - -. ~ ' Ma ~= ~"~ ~,~~ ^ ' ~~-h,.~~s.~~.:-~~ ~ :'3 ~F..~~-~'?~s:.