Loading...
HomeMy WebLinkAbout0969 ~ ' ~ ~¢~~zr~iatt ~f ~~m~lct~ ?~?~65~1 SYAY~ ~3R ~l.QA1DN , C•AUNiIf O~ S~'. LUCx~ ' p# pp~ttd~o t~ 4~s 8t~4a ot F't~~d~ th~t 1 em ita~ thta day tn ~ccotdance and In c~o+~*~itv wtth ~4tio~ Z2~.17, F!~ ~tut~. ' ~ ~?1? ~rNc. EE,v ~ . GvoorE~? ~ ~tt,roua wu~ a~n , b~cam~ a~ itda reald~?t ~f tto~ 8~~ o~ ~1da on., FEB~ v~~ y, a,~__~_ I q l~ , , . v n, ~~,o,Qt~~..,,~e.G~ - ~nd 1 r~ide st ~o,~r sr~ .~1~F~-~- ~ tne c~ty iUlyy maUing e~dr~s t~ ~ S~ r~ E~ p~ ~~,o~a ~ou s~+~~a ~ f~! ~iW~ ~ fn ~ ~r.~I W r M ~ ~ ~5 w~ST Vl~~_~NiA ~ ~tato ~ ~ (No t~tl~ etet~nt t~ t~oq~trsd, li~r~ tt YAU wi~ You ttt~y ln8ert eny ~rtinent t~ets such as sats o0 pr~pe~'h~ ot b~n~ ~~~ment ot empioyme~t et tormer d~mtcite, reme~vai ot famUy to ~w d~ ~ ~ ' _ ~ ~ F ~ ~ . , 1 FURTH~R CEF~Tf FY t a~ti t~mPly? r~h ~1D requ~er~~ ~e 1~~ ~ ttrtc~ratlon ntth~ under~tsr~ tho~?a t~ a~lty~orp~u~y; P~u~?Is ~~~t~y~d ~ ~ State ~~ri~t~nt ~ Co~~ I~1~TNLE~'~ E. ~(~OT~~1 ~:-~li-,~~ LV G~D .~Gw ~ _.m.__...e.~,...~.._ SIGNAZ'tJA~ • PRINT NAM~ PRYNT NA~ 3IGNATURE ~ . THIS SP~CE FOR.tt~~D~t~t~ INFt?~TT~ a~ to.~ a~. ~ a~ ~~a? 'S~1 of ~ . ~9' . ~ ~ ' _ ~ ROGER PO~TRA~S, ' ~ `86 OCT 13 P 2~25 ~ ~ ~y . _ ~ ~ s; C ~ ~ fi~~. . ~ . ~~~,~.ooo y~ ROGEii i t. _ , - ~'~:'~.lA!¢~ h • ~ ST. LUCI~ C:,: ~ti . °0~tirr. - ~ . - - - . . Notery Public, S~~~~ o! ~ • ~ti<t My Co~ssiofl ~acp~xe,~ s : FOAtW ~'0 ~ = t?~a~.~~a - (0811~~ - o ~ 51~' P~~~ 9~ ;3 onnr