Coachman, James' BOARD OF PUBLIC INSTRUCTION
a. V. 1 U0IjItI
RUPPRIfI1PNNPNI S. R. MCINTOSH
C,IAIRMAN
L. C, R0C711F or FlrP OF 8T. P!TF"88UnO
A„o„NPY E. PASCO MORRIS
MRS. SUAA rN P PANRRVANT SUP[RIN-ILOBT Or PUBLIC INSTRUCTION TARPONSPRINOs
C
CHARLES H. TEETER
1'INI'I_LA5 COONTY CL`ARWATER
CLEARWATER, FLORIDA C r J 'V Ee ),./
()EC 2$ 1988
CITY. CLERK
To .,1,r., lI T l;
11r?: James Coachman
'r?t}.^ 1 n 11, r ,al l,1 [' ? t vI ll uir, ,tr!rmnnent record. enrd on fl-le
1.1t 1:tIn nl'I'1.r? {' ?I I.l,r. tiltl,r'T`'1.??1;nnr7ollt of Public Instruction,
l':Lnr'11.nrt tl()I+nt;y I01.o1'}.dn, rtu??as t;he follo?,rinl, lnfortnation:
11!',11 `: j;,Itiof, Ir_lnf?}mirl11
1?n1;? or 131r};)1: I9rir'I?11 14-1911
1):1'1.1` ElIvo1,1.,- 11: 3cptr?ln}>r?7? 99-1-919
i!'nl;ltr?rlt r, Pmmn: 5. 9. Conohrimn
clr;ltn??.l: t?orl;l'1 Word, (11r,,nmoter
Iiltt?t. I'lli)1.1., '.??Ir'1. ?ta!?t1,r)tt
i
r;r,t.tltt,y rtL' I'ltif'l lnrl
It?l~rti,f, mr' r'r'tr,Ir,ll" L Ly rlnt,rrtrr'd (l. V. Fuf_,ultt, well known to
111,, 1") Ilr' I;IIr' "'Ii, T, Ilip) 1):1111: 1)Y mr' first July sworn, stn.tPS
1111' 1, I,?Ir' 11tv111r? „I'r,I,;f mnitl; l.rl trtut rind. correct to the best of
IIi.r, Itt?r1lrlnilr?I? llltr?l },1'111'('.
I'l/il?lic, tt?te of Florida nt
My Uouun sslon Exnires July 8, 199:5.
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Nil;w YORK. I.A114'll: INSURANCE COMPANY
111 MADIRON AVION1111. MAMMON RQUAltE. NEW YORK, N. Y.
SELFI '.110N AND RATING DEPARTMENT
11"N1tY J. 111WRI411. ANNINTANT M11111111TA11Y
I4.AV 1t?1:;
TO 1.;,1 1'.I' MAY CUi'C1:[ 11 s
R 1= c; r... 1
t,?'11NC1{
I:L01211--)1\
I\UG a.-1ojgly
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ARWHVR 0. NOROREN, NUPHRINTRNDMT
1942
'I 'han if" Lo ce t I;ify URI; the al:ovo numbered contract was issued
orr Uw 111'e o1' ono Jamcs 17. Comohman on January 6th 1936. In the application
m11ri1Uml, drtt;ed Uccamber 30th 1935 the applicant's place of birth was furni-
rllied nr Florldn and the d0;,) of' 1. 1.rth wits furnished as March 14th 1911. The
lu,.11w of' Lhe al'l'.licnl,t:'r, M,)LIter wan furnlsl?ed as Jessie Coachman.
Yours truly,
rt;hur C. tloi-Oren,
uporint:endont..
1't,r•a ,1 pc' Ai'?
Sn,rr OF
] U . AFFIDAVIT
COUNTY OF e?iu•? ' ?'
r'+Y / C fp
p p iyfl o' an or m
as
being first duly sworn says he
u-tcr/?+ ?LlG?v
wan ill attondatloo at the birth of ame
born o r ? t!4 own or C y
yj and
t me o a • or riaiden name of mo
'Cho nffi'8uctitl. further states that the above given flaots were* v'wre-e-e4* taken
from a pernonal roaord made at the time of thin birt
car t'fC
(Sipped)
(Goal) Sworn to 0 ore me n su scribed in my
prosonoe this dav,tgf
*Cross out word' that Ninoteozl 'hun ro s orty.;
does not npplyr
/Iaddn ? _
o ry Yuoiic, Mote 0171,0131 latal,
MY commission expires Oct. 1, M14,
f H. K.
.p a 1 e
?1,111111'7 OW H 1111 JAIL
T 11','liNHY C,11Itr1ITY )Irii; I D-wo examined the family
13.1 I.7 r_. Lrl )'iNt. Jrr.rac (lrivI l.c r (7orno)tmn.n, Vmi.doti'r; 'and find.
I,)ir+t; 1110o n mon1,T r).C I'Vin lln'l.y PI[A n" :rro rnr. inted. by A. J.
1' l .; v ll (1r1i rr II;J, 1 `,;G'," ,1.rclc i,Lrc ot, Philndelnhia., in the
Ve11'r• o:l' 7?t1)0 tltrrt; i;lia n :Cv,iAly Pible contains a,
owlipa, 1r,amitl c11" t;ho t?n:rr:l.nrcerc, births and deaths of
lAw iimivndiol;o Fni,ii.ly, :1.liaar.tcl.:l?Ir•. Lhe mnrringe of Jessie B.
SOtmd).r?3Lo o lo! urtl ?;mil;ll (lor,chmnr? on June 27, 1901, and
Ow d(-ntl? o.f.' `.l rl.nll ,n 2.;t.tli Cn c;l rnr.n on Yarch 10, 19,'il;
I;llr)t olt t)rr .rr??,.n handed "T31]-thB11 the follor,ing, entry is
rlhorn, :ln the rnuL)lr rr n )cnrtd.rrritinrr,, on the tenth line
:fvoiii Win Lori, l.:lnte.d, tin tale fifth cluld horn to her:
It Jr,mon `rv.3'-.ven Con.ohmn.n Born 11arch 14, 1911 11
1"'i ch nilt:r r t"!'n n.wma olitly ?nr,c.le nhortly n.fter birth of the.
n?111.t1.
WMIESS m,v ]land and offioin L seal this 2nd day of
ilnttrr;r Pttkflic, State of Florida.
rd; ln.vi e.
lintary PII11IIC, S1e11 of florid3 at 12r9t;
My commissiun expires June 29, 1943.
WIII 11-11d Id 111'11111
III HEW m 111 %1,8. P III '1 141 WS
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