Aff - Bolin, Sharon_10/9/1973i �a � �
STATE OF FIARIDA
COUNTY OF BROWARD
AFFIDAVIT
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SHARON BOLIN MYRICK, being first duly sworn on oath.says:
- , 1-. Thaf Af-fiant,.was= formerly: SHARON- BOLIN{ STOI:TZ,. and -is. now,;� ��-; -_�_
married to JACK MYRICK, residing in Pompano Beach, Florida.
2. That Affiant has three children, namely DANNY MORT BOLIN,
over the age of 21 years, and unmarried; LUCINDA DORIS BOLIN, over
the age of 21 years, and unmarried; and GARY ISHMAEL BOLIN, who is
married to WANDA NALL, and is an emancipated minor of the age"of
20 years.
FURTHER AFFIANT SAYETH NOT.
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_ SHARON BOLIN MYRICK C� _
Sworn to and subscribed before me, this �_day of G���e!�, /9 %z
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- _ . �, - Notary Public
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'� s� '� '� ���� ` NOTAFY PUIU�. �� ol FLORIDF at lAR�9�
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'My coiimiis's�ion expires: aono¢arHSOUGyFR�F'w�o��T�O��
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