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HomeMy WebLinkAbout23939-Z I"OIiH NH. I 'l'()~N ()F ~()U'I'II()I.I) IHll I.I)1 N(~ I)I~.I~AI/'I'HF. NT 'I'()~N IIAI,I. !~OIITIIOI,I), N.Y. Jlgll 'I'F.I.: 16~-1110~ CIII~,CK ......................... ,c;Ir.l'T I C F()ITH ................... ^I'I'I,ICATIOrl I;O1( IIItlI,IIIHC I*F, IIItlT I N!~'I'I(IICT 1 I)nte ................ ,19... n. 'llli~ ~lq~licoLi~xl ..mt I~ (:o~Tdelely lrlll(~l i,, I~y lyl~4, il~r or in l~d~ lll~l md%.Jtl:ed lo the ltllldi~ql hml~(,lm- !Il lee[~ or nreo~, taxi ilJvJn8 Q ~tnJlml I~(~tJlltJ(~l O[ I~,t o[ I~rOl~rl.y ~,~,st I~ IhJ~ nlq~l ic~t Jl)ll. l~l,lJl: ~lJllJ I~ kept ~, II~ I~'~.J~o ~v~llnhl~ [or JlISI~I:Li(~I IJlrl~l~ll~lL Ihe ~rl~. lt:(]~l~:y ~JmJ I. ll~]v~ I~il iI~.n[~l I~y tl~ lt~Jldh~l[ IIIRIEI:i~()I-, AI~I'I,I(~'I'I(~ IS II[I~IIY ~1[ lo ll~ llllhlJull I~l~llln~llL I'llr [ll~ i~lmmm'~ ~[ ~ lt~Jhli.~ P~lmJt ix,tin,miL lo the Ik~i hling 7xxe OrdJ,~s~e off Lira '1~ i~[ ~dhold. ~,ffolk (~.*ly, ~ Yotl% mx.I olher .l~licalJle l.~s. Ordim~e~ c)r I~:j~ul~l.J~m. [or I1~ t:(~mL~ti~i ~[ I~Hhli~F% mMJLi(~m or allerJ~Lion~, or for gkmcril~td. '11~ ~l~l~li~:m~t nl~ree~ lo i:J~ly wilh nil nl~d Jc~d~le I~n. ordi~m~es~ I~JtdJ,B (xxl~. I~mJ,g c~le~ m~l re~dJ~l:Ji~m, m~l Lo mi,Jr m~tl~rigel J,Sl~(:lors ~ i,~nj~en m~l J~ I~HhlJnl~ for I~censn~ (I~,~.? ;.~1 I il le of (:O~lX~r;]te o[fJcer) 151..,~ .I ~,,,.k (;:l~l~:l~ t3dl:h ~q,~dic.hh~): II,~ I~.ihli.l~ ....,~.'i .... ~hlil i~,~ .......... Mle.;.ih,~ .......... (l~;cr J pi .................. ~,~;is ~*~' ~11" YES. ltlllllXl) 'llX~l 'll~ll;llt]~ll II,:II. IIT I~Y ll~ IIl'l~lllll(l). Iq.O'l* I) I ^l;ll^ll clearly m~l di.l:Jl~:ll¥ nil I.lihlil~8.' M,elhe,~ ~-'~tnl i.tl ~.' p, OlXmed, n~l il.li~:al:e all sel;--l~(:k di.~,mi(.m :; lull 11.4 .nk will I~ CLAIRE L. GI. EW Notary Public, Star(¢ of New Yo~'k No, 487.~505 ..~ Otlalifie, d ill Suffolk Cour t~t /// Commission Expires [)~O01llbO[ ~, 1 ~ ~ ~ f ~,1,1 i(:;.)l )