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Application for Journeyman - St. Lucie County

Application for Journeyman - St. Lucie County

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AFFIDAVIT<br />

TO BE ATTESTED TO BEFORE A NOTARY PUBLIC:<br />

STATE:<br />

______________<br />

COUNTY: ______________<br />

BEFORE ME, AN OFFICER DULY QUALIFIED TO ADMINISTER OATHS AND TAKE<br />

ACKNOWLEDGEMENT, PERSONALLY APPEARED ______________________________________,<br />

KNOWN TO ME TO BE THE PERSON HEREIN DESCRIBED AND SUBSCRIBING HERETO, AND ON<br />

OATH DEPOSES AND SAYS: THAT THE STATEMENTS MADE IN THIS APPLICATION, TO THE<br />

BEST OF HIS/HER KNOWLEDGE, ARE TRUE AND CORRECT.<br />

STATE OF FLORIDA<br />

COUNTY OF ____________________<br />

The <strong>for</strong>egoing instrument was acknowledged be<strong>for</strong>e me this<br />

__________ day of __________________, 20________, by<br />

__________________________________________, who is<br />

personally known to me or has produced<br />

__________________ as identification.<br />

Signature of Applicant<br />

Signature of Notary<br />

<strong>Application</strong> <strong>for</strong> <strong>Journeyman</strong> Electrical or Plumber<br />

Revised: 12/9/13<br />

Page 3 of 6

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