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' JUN 25 '90 ©8.50 ,r _ •-- -- - -- <br />`. A�CAUFORt "TA's A► CONAUMA 611MC111 !►Aff+V - <br /> WkACTORs' STATE LICENSE BOARD em <br /> 913211e4tlsetr toed,*WWWW".Golf e- <br /> *Wh"Aalrelw PA,its 26000 <br /> MyrasarM.CadhN�ie �� �/�� � <br /> gonna OF CHANGE OF NAME OR ADDRESS ti:+��»-- <br /> 10M k you wbth to crdw Nfhsr a ttrw waif lkanee rrr4/or 4 new paket lila NW.n4tA 1110 NVWW a1�f0e <br /> mgra mod In the 6&Kot)b6i w sand attach a moftev mden 40WIod,wihiwi at WavAi S dtoa3t.; tk0 Marr <br /> Rptteatltfata■tnt4rit p114L1a tat 11a�irtrtw 0f Grttraeotsra,41a�Of 11Nf G�11. Lidex <br /> Tharw will is a 11ag0 t0*6 A"@*evvl d44"Ofodduk& Rawl Uk..� F•G•,•.••�••• <br /> Chi,Not, <br /> ORIGINAL L1CINS1 CARTIMATE (Well LIM60) +Ciff ZANY k$NEW.Al CIRTIFiCATZ (Pb1k0t 8440") <br /> h►�aayy W gtan%d if f1+0 llcsnso Is tt+*r+ntiy+ nm#"d or t0nevrobfa may b0 volow *Aly If the 11mee it vinw* Mewed, 0 the Cyr- <br /> 421 lift' PIR WK COPY, rent lka�e0 to rewrriod with WA appitaatioh, those It no free <br /> fat�t1lov. Inolosa$2.00 for 6d4it oddWelial copy, <br /> A Changs of a4ldrou or naMe wy le mutt be t0 orrod fa lite fi 41wat of Collin yrs wfthln so deA Qft0r such dwangrt is PWA0, ao reolrad <br /> ursder ROchan 7013 of the Contrattart I,tceAss Law. 'this form inrrtt lerµ algn+sd lay an ter,parfnsr, •r on Aar of a 40rp4<ratlon. <br /> (ftloosa not or rs atl inferrnslr ICA,fenrtt=ota+ad ll"p0rtdt eve won. <br /> 062►MMB smut w ran+.+ o.uawr0 Lao-of <br /> aU A'6 a p0mod ouaa�irl�►414N� <br /> D d �r31 . Sarv3oa :~ . <br /> awMasr+iNdmiew Ne...a.a..co" <br /> C14AKOIlE OF ADI)RI1 i-+rldlvIgIvai, Portrimhfp, C;atpwalian <br /> FROLY It11i/T OR ��X MLi11l��{F IiR"1� 41eYMrYI WAY& n!Ooa� Itq� <br /> FROM— arrsasr ITAta so ooas.+a+ <br /> VON- <br /> I harriy csrdfy vAB(er pen0hy of p#4vry under the!tree of At Skm at i"allforrtlt to At Wlr Ond NGVPOq o/the*Yovo finteatsnshi. <br /> Dano $igneture of bwt+sr,paAnor or bilker <br /> CHANlsx OF NAME hill tlµ+s1 W l GI`1f1 rrhlP <br /> A change of nacos (tyle may Ica made !f there hot bran not changs In pencwuW and It*0 name efyla d"s not ift"011 YOU Hee q+ralltbd in a <br /> alostificalfon ott+rr than the claultleaffon(s) In which yrasr ate 114anwd, A Champ In psnennol of o partrtarshlp s#r eetalacarnent of is respantlfslo <br /> ftnaoing omploye0 connot br rrwdt with tide form, <br /> GIfAMO2 NEW NAM& 64 <br /> Lilt Wow narnss 41f Indirtduall or paI"*M dnd tuned Poslt#anco 04dr8161(W14 rit+►0rs0 4411 fer addiflanot natnn) <br /> 11111141a NAM>ipo <br /> �rlt�Dt tnllTrw� u►rrr a► r ltfLtsIC�NGit <br /> 1Aerobe Cartlfy vndsrpendi7r o/perislry Ultdar des laws of Nw 3teM of C4019PAIa ht the hVA and acc Vrogy vlthe tbotw ararantanra, <br /> Dwe $tpnmuro of Ownor or pnrfrsst r <br /> Alm <br /> { <br /> COR'QfltAYtON NAMI C:HANOf-ONIrY ! <br /> A 4hange 0f mama cute rn6y be rrmdo If*I-ehanpe of nansr has been molsrrted of the$acrrfary of 414te'6 altlsa and if the name style de.f <br /> A01 Ind1t4ft you ora gvollfled In d clasifficWlan Whet thoO the elamifk"an(4) In 1AIgh you are Usen".NoNco of a aft4"0* of Offkars Of <br /> Hspontlbl• thanoolne officer cannot be made wads 014 form, IN LLIDI; `WITH TfI1S 1bRM Pit F Of CNA qe OF CasRr RATE NAW <br /> PROM TKR WiiCKITARY OM STAT113 OFFICg, <br /> CMANl0 N11W p*Am1 WRZ y+at iin Zro-0K,w r ;; GR#4 r ,yw�sl+trq <br /> TO �'�C�LrF��flC`_�_�� Oiillr"irRhT30ff NG. <br /> &NI'll i>+twas ds wAMI8 Biwa S61 psra er aaKstow Wl <br /> wets raaa4'U"0*.�lAM 14- 192Q <br /> 18� <br /> 1 hatoby under 0,ho lows of the 'State of do!' u to the hr4rt}s&Ad aeauraeeyrrf the abovW +ar*mssN.f � <br />