HomeMy WebLinkAbout16-17718 i�
'' CITY OF ZEPHYRHILLS
5335-8TH STREET
� --;�� (si3)�so-oozo 17718
� FENCE PERMIT
PERMIT INFORMATION � - LOCATION INFORMATION '
Permit Number: 17718 Address: 4651 WISTERIA DR ',
Permit Type: FENCE ZEPHYRHILLS, FL. I
Class�of Work: FENCE REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
S uare Feet: Subdivision: WHISPERING OAKS
QEst.Value: Parcel Number: 15-26-21-0160-00000-0200
Improv. Cost: 1,975.00 - OWNER INFORMATION.
Date Issued: 9/08/2016 Name: HENDERSON GERALD
Total Fees: 45.00 Address: 4651 WISTERIA DR
Amo�unt Paid: 45.00 ZEPHYRHILLS FL 33542-5647
D�ate Paid: 9/08/2016 Phone: 813-780-8793
Work Desc: REPLACE FENCE INSTALL WOOD 121 X 6'FT
� CONTRACTOR S - APPLICATION FEES� �
PASCO FENCE COMPANY INC (813)788-5642 FENCE 45.00
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- � - - Ins c ions Re uir.ed- �
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REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initiai inspection or
� first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this properly that
may b�e found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will,be issued to the person owning same �
"Wa�ning to owner: Your failure to record a notice of commencement may result in your paying twice for;
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney�
�� before recording your notice of commencement."
� Complete Plans, Specifications and Fee Must Accompany Application. �
All work shall be performed in accordance with Ci Codes and Ordinances
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CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
!; CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
;; PROTECT CARD FROM WEATHER
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CITIf'�,OF / / / / BUILDING
ZEPHY�t�i1LLS DEPARTMENT
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;; OF ADDITION OR CORRECTION
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ADDRESS DATE PERMIT f
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�� The following additions or corrections shall be made before the job
THIS JIOB HAS NOT BEEN COMPLETED. W�II be accepted.
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It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the worlc with flooring,lath,earth 780-0020 FO RE-INSP TION �
or other material,until the proper inspector has had ample time to approve /
tha installation. -
OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR f'�� I�
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a�a-78aoa�o City af Zephyrhills Permit Applic�tion Fax 813-780-U021
?� Building Department ,
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Date Reca!Ied
i, � ° PhonetCantact•far Permlttin ' •
owner's Na�rne f`�'1( P11 SO� Owner Phane Na�mber d'�p ` '-� li
Owner's Address b�� �L S PT� � � Owner Phane Number � � 1 I'
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Fee Simple Tltlefiolder Name l � ` � Owner Phane Number �- � �
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Fee Simple�Itleholder Address °
JOB ADDRESS �O`5 � wC S � LOT# �� I
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SUBDIVISION �� - � PARCEL ID# � " 1
, (OBTAINED FROM PROPERTYTAX NOTICE�
WORK PRO OSED , a N6w coNsre� , - ADDlAi:T � SIGN' 0 �[� QEMOI.ISH i
�,e. INSTALL 8 • REPAIR �
PROPOSED�USE � � Q SFR_ Q COMM � �OTHEFt ' �
TYPE OF C�NSTRUCTION C]� 'BL.00K '' �[� FRAPJIE ' �[� STEEI. `CJ i
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DESGRIPTION OF WORK ._, Y-• t LrJC'�(,(il �f i1 C'<' �' i i
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BUI�DING SIZE' `� �' S�i#Y fOQTAGE /a.J � HEIGHT ��_,�� ';
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OBt�Ik,DI(VC, �$ ,� � . �� � • �
„1__.F „..•� �' ,
!,��� � VALUATiON"t3F TO'1'AL CQNSTRt7GT10N '
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QEC CTRICA� $ ' AMP$ERVICE Q �Pt20GRESS ENERGY � W.R.E.C. ��
QP��UMBINt'a . $ ' � �
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Q M�CFii4NiCAL $ ,, VALUATION OP,MEGHANICAL INS7ALlAT1!?N. C��j � ;
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QGAS [� RtaOFtNG Q _SPECIAI.'TY � OTHER- �
FINISHED F�OOR ELEVATIQNS FLOOD ZONE AREA QYES. NO �
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BUII.DEFt GOMPAi�lY'- . � F G.�-
SIGNATURE� REGISTERED Y/ N FEE CURRE� � Y/N� . i
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R,ddress � j � l��f �- � , �. L(Cense# � �
I E�ECTRICIAN� _ �GOMPANY` ,
SIGNATURE `" �G�s'rEtteo Y/ N FEE GURREK� 'Y/N i
• ��• _: ` ' - _ - � � < i
, Ad�ress ' . LEcense# � i
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( P�UMBER . , GQMPANY r
SIGNATURE " � r REGISTERED YJ>N FEE CURRE� " Y°/N �
Address , . . . license,# � , I
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MECHA3+IlCAL' , . , , " � CQMFANY
SIGNATURE{� - ' � � ' REGISTERED Y./ N . FEE CURRE�., Y/�N
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Addre�s � . ` - • ' �. . _ � ' � ' License#'
OTHER ' � ` , ` � . :;`CQMPANY � �
SiGNl�TURE ,. ' � �'�" � ` s' � ' ' j ' REGISTEREp� � Y/ N.. FEE CURREh Y/N '
� Addre ., , - . , _ ' �ic8T1S8#°�� " ♦� � .
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REStO�NTiAl:,�;= Attach�{2)PIot�P,laris�,{2)"sets�.of.:Buililing�`Flaits;'(1�.setiof�Enercjy�Faiiits;:R=O=Vit'Rerirtittcrnew�constructi6n, ,
r��.Minimum�,ken�(1,0);working�;days�after:subinittal�date.��.�Requlreil onsite;;ConstrucUon=Rlans;�Stonnwater"Plans�w/SOt Fence installed, i
i Sanitary FaclltUes;&°,1,dumpster�Sita Woric;iPermit�forsutidivisions/la►ge.p[ojects . _ ` "� � " - ° � "�
�OR�iMERCI��t. Attadi(8}-crimplete'sefs`of Sultiiing Plans ptus alife Safeiy Page:(1}set of Energy Forms.R-O W Permit for nerv canstnrcfion. _ �
� Minimum ten(10)working days after submittal date. Required onsite,Canstruc8an Pians,Stormwater Plans w/Silt Fence installed,
j, Sanitary Facilides&1 dumpster.Site Wark Permit for all new:projec�.All commercial requlrements must meet compliance •
SFGN PERMF51' Attach{2)se#s�of'Engineer.ed�Plaiis.,,.: .:;:•. :, " , ` ,
�I '•""PROPERTY SURVEY required for,all IVEW constructlon. � �
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i itFreclloris: �} .... _ .._..__ ._-1.t ari -
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Fiil out applicatlon completely.
Owner&'"Contractor sign back of appllcaUon,�otadzed '
if aver I�2500.a Natice of Commencement is required. {NG apgradss over S750qj ,
" Agent(for the contraotor)or Powe�'of Atlorriey(f�o�r`tFie owner)`would be�someone with�notarized letter from owner autharizing same
OVER'THS C�tiN'i'ER PERMITTINti .W_._(Fron#•of�APAllcation On{y}��
Reroafs if shi�gles Sewers T Service Upgrades A/G Fences(Plot/Survey/Foatage) �
Drivewa -Nct over Couater tf on public roaduvays:.needs ROW`
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fVOTiCE.OF DEED RESTRICTIONS: The undersigned under�tands.;th�t.this.�.p�rmit:may,be.,subJect to,,"deed"�restrictio.ns"_�.,:� ,;.M
which may.tie=more r.est�tctive=th�i��Cqurity�regrilatfons.��7he.undersigned°assumes'resprinsititltty for�coriiipliance with a`ny�` '
applicable�deed restrictions. ' :...-..-.-�: ;:: � •= : �,., � ' . .., ......._.._.._._., �� .� _. , ._.
UNLICEIdSED CONTRACTORS �AND CONTRACTOR RESPONSI�ILITIES: .��if�tlie�-�owrner°has'hlred':a�:contractor or
contractors to undertake work, they may,be:,�requlced�to,�e_Ilcensed,in accordance.w►ith,state:.and�tocal�cegulations:,�If=the'�<��'• " �=
contractor 1s-not ltaensed as�requlred';tiy lew, tioth-�the owmer and contractor�rriay�be��cited�"for�asTmisdemeanor violatlon
under state law. If the owner or intended,��contra�tor�ere;:�ncertaln as to what Ilcenat�g;.requirements;may�-,apply%:�for,the' - � �{��Y�
>a�:.. ,,, . . _ . ��....,.....y;....._.,-.�. _ � �.�.
Intended'work, they are_advised to�contact the.Pasco�County_Bullding:Inspection,Dlvlsion-L•Icensing Section at 727,-�47-
e00g. Furthermore, If the oviirier'tias�Fiired"a cont�aotor or contractors, he is advlsed to have��the contractor(s)�sign, ; ._ ; ,
portions of the:"conttactor.Block° of.this._application�,for which.they,-will..�.be.r.esponslble.-:If:you;:as#he owrie��tgn��a§'the
contractor� that=inay be an indication that�Fie=is not:prope�ly-Il"c'ensed and`'is�not�"entitled'to permitttng�privlleges in Pasco _
County. ` .. ' � � - - , . _ .. _ �._._,._. . f::�:..�>:�. , . . a
TRANSPARTATION.IMPACTIUTILITIES`<rMPAC'�ANb RE30URCE RECOVERY FEES:A The unde�s(gned understands
� that Transportation Impact Fees and.Reco.urse Recovery-Fees may;apply�#b�the yconstructlon of new..buildings�:change�iof=y���=s;;°'�°
use in existing buiidings,�or��ezpansi�n�.of�existin��buildings, �s specffied.in Pasco County Ordinance number 89-07'and
90-07, as amended.{�;The undersigned also,understands� that_�suoh fees;has>�maq_'tie<due;:willnbe idenitfied at the=;time=of.�� �v:':`�`='
' permitting. It Is iu"rther unders'tood that Tra�isport�tion impac�Fees and;Resource,Reeovery��Fees:.must be pald prior to
recetving�a.°certi�cate,of occupancy"or,flnal�power�release: :If�`the.proJec.t�..does�:not:involve:a�certfficafe of occupanoy-o���`�"�"������`°
, flnal powec release;,the;fees�mu�t'��tie paid.,p�ior to;permit issuance. F��thermore;°�If Pasco;.County'Water/Sewer•=lmpact� �: ;.n�����
fees are due,,.they_must:be,paid�pridr�o..permit�.issuance;�n_accordance witii:applicable Pasco'County�o'r`tlinances. •
CONSTRUCTION�GEN"LAVV'(Chepter 713� FlorJda�tatutes�a�amended): If valuatlon of work is$2,500:0O:�.or_moce��:l�� :. . ._.
certify that-I, �he_:applicant,-have-..been .provided w(th-a-copy of..the:"F..lorida� Constructton�'Lien .Law=Homeowner's
Protection Guide" prep�red by the FloFlda Department�of Agricultnre and-Consum�r..Affairs. If the appllcant Is someone; _ �•-�
other than the"owner", I cert } �`?�
ffy,.that;l;h�ve;.obta.[ne;d=a��copy.of.the'}above:rfescNbed:docurt�ent;and:p�orxiis:e,in;good�:faith.to . <.
� deliver It to:tlie.`owner°.p�ior�to�commencement:'•'�� Y. . ` . " �� - " �- = - -� - � �-
CONTR�ICTAR'S/OWNER'S AFFIDAVIT: I.certKy:�.that_:ail.the;inf.ormation;ln:thi�appllcatlon is accurat�.and that all work
will'be done in compltance with all.applicable�laws.regulating construction� zoning and��land`development. Application,is
hereby made to obtain:.a pecmit�.Co::dv.,�wori�._.and='-Insfallation as indicafed:�>>�::I: cenffy that no work='.or Installatton has �
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commenced�p�lor to issuance of a permit""�nd thaf�all work will be�pertormed to meet.standards�•of all laws regula�ing-
const�uctton, County and City codes, zoning regulatians, and land development regulattons'In the,jurlsdlction.� I��al'so .
certlfy that I unde�stand.that the.:regulations of other governm�nt agencies may�apply�to the..intended work, and that it(s
my responsibility to identify•what:act(ons I must•take to,be,in,corrlpllancs„S,uch:agencles include but�are.not Iimited to:��
- Departmen# of Erlvironmental�Protection=Cyp�ess.'Bayhead9,�WeHand Areas and Envlronmentally Sensitive
Lands,Water/VVastewater Treatment: �
- Southwest Florida Water Management:�:District.Wells;'`Cyp�ess.Y�Bayheads;� Wetland Areas, Aitering
Watercourses. - � �
- Army Corps of Engineers�-Seawalls,�Docks, Navigatile�Waterways.
- Department of.:Health;'.B,.ReMabilitative:.SeniiceslEcyvttonmental<.Health��Unit Well.s; Wastevu�ater=Treattnent; �
Septic Tanks.:`_ _` ' .�_.,. � ; ' _ . ... . ; ..
- US'Environmental Protection Agency-Asbestos abatement., �
Federal Av,latton_Authority,-Runvuays;. - '
I understand:that.the.following;�estrictlons apply'to the use of flll: -
- Use of fill is not allowed in:;Flood;Zone"V"unless expressly pennitted. �
- If the fill mate�lal�1s to b.e used:.In-:Flood Zone. "A"� (t is understood-that a drainage plan addressing a
"compensating volume"will be submitted at�ime of�:permitting which is prepared by a profess(onal engineer �
Ilcensed by�Fie�tate of'Florida: � � _- • •�� , ,
- If ih� flil materlal�_is�to be used in Flood Zone 'A" In�connec�ion•with�a permitted building using stem wall
� construction, I ce�tify,that fULwall�b.e�used only.to.fill.the ar�a within�the�stem�wall: - �
- If flll material is�to be used in .any a�ea;"1��certlfy that .use. of'such flll will not adversely affect adJacent
propertfes. If use;of ffl) Is found_.to adversely..�fFect`adjaEent�praipertfes,.the owner may be'cited for vlol'ating
the condltions.of-the building�:permlt-�Issued 'under the�attaatied_permit �pplication;foe�lots less than.one (1)
acre whicfi'are elevateii'by:f111; an,engineered drainag�plan is required. .
If I am the AGENT FOR THE�OIMNER, It.promise.in.good faith to inform�the owner of�the permitting condfttons set forth In
this aifidavit�p�lor to commencing constructlon. I undersfand thet�a;separate;permlt may be requtred for electricaP enrork, � 4�,
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plumbing,,..signs,.wells,:pools;,.alr._condltioning,.:gas,,or.othe� install�tions not,spec�tcally included�in.the�application. .A ,
permit Issued shatl be construed to be'�a`Iicense�to�prcceed�nrith`the:wo�k.and�not�as.:authoNty�.to.vlolate;�cancel; alter, or
set aside any provi"stons of the.fecFinical codes;�nor shall issuance�of a.permlt.pcevent the Buildirig Otficial from thereafter
requiring a conection af,errors in ptan.s; constivctlon.or violations of�any�codes. Every-permlt=l"ssued=shalFtiecame invalid
unless the work authortzed.by such permit:�ts-co�tmenced�within_s{x,m.onths of�permit Issuance� or If work authorized by
the pe�mit is suspended or.ebandoned�for:a;period;of�six,EB)�moMfis:afte�'.the;tirne the�wo�k�ts cominenced. An extenston
may be requested� In wciting�from tFie;Building,Official for a period.:not•.to•exceed"ninety�(90)�days and-will demonstrate
justifiable'cause for:the extenslon�. If work ceases:for ninety.(90)cons.ecutive days..-the Job�is considered aba�doned.
INARNING TO OWNER: YOUR_FAILWRE�TO.;,REC,OR�D:A.:NOTIGE:OF;�COMMEMCEMENT:NtAY RESULT IN YOUR
PAYING TWICE;FOR-IMPRO.VEMENT3-TA YDUR:=PRC�PERTY.a:IF°.YO.U;IN�EWD�T��'�OBTAIN�FIN�1'NCENG;'CONSULT
WIT U D O: AN° TTO N � FDRE� -OR�1 E's:.; OIJ. :; ;C � E - - . .
FLORIDA JURA��(F.S: 117.03} - -- . �- . . ___ - _ .... . . .,-.f . _ . . _ -- - _ - ---- . - - -
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OWNER OR AOENT CONTRACTA � .-'
Subscribed and swom to(or alflrmed)before me this Subscribed and' �to(o atflrmed)�befote m�tlif . -
by •by... �
Wlio Islare personally knobm to.me or:haslhave.produced Who,is/ace,p.eraonallyknown•ta.me;orheslhave-produced- •� . ,
" as Id'entlflcatlon. a�IdentlBcaUon.
Notery Publlc Notary Publlc
Commisslon No: Comrnlaslon•No. •
Name ol Notary typed,printed or stamped Name of Nolary lyped,printed or st�mped
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������ ���� ����� 5150 Halsead La3E
���p�� Zephyrhills, Florida 33541
- �� "Yc�trr Pi%C'Specinlists" 813-779-7795 813-973-0826 888-779-8553 fax �
�� acmefence@yahoo.com
� LICEN3L #' 11795
����PO SAL/COI�T�CT Page 1
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lustom�r Information: Job Information: �
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GERALD HENDERSON JOB LOCATED IN ZEPHYRHILLS
4651 WISTERIA CT CROSS ST IS C AVE
Zephyrhills, Florida 33541 780-8793
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Notes: ;
- REMOVE OLD FENCE & HAUL AWAY - ,
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121' 6 FOOT BOARD ON BOARD PRIVACY
60' 6'
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STICK �UILT ON SITE ( �
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2 X 4 !,PT RUNNERS 42, i
4 X 4 �PT POST SET IN CONCRETE �
5/8 X �5 1/2 PT PICKETS
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6� 2 7'
HOT DIPPED GI,AV. RING SHANK NAILS House - !
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AC[� FENCE agreos to guarantee above fenc� to be job and adjuetmenta for labo= will be charged or I
free from deEects in materials and vaorkmanahip for credited at the currently eatabliah�d rates. ,
one year",. Additionai eharges Por any extra work not covered
ACME FENCB ehali advise the cuetomes as to iocai in this contract that Has requested by the customer
zoning ;egulations but reaponaibility for complying seill also be added. The full amount of this
with said regulations and obtaining any required contract along �aith any additional chazgea seill ,
permits�ahall rest with the auetomer. AQ� FENCE become paysble upon completion of all mork mhether I
avill sssist the cuatomer, upon request, in or not it has been invoiced. �
determiriing where the fence ie to be ereeted, but A finance charge of 1 1/2� per month (or a I�
under na circumstance doea AC� EENCE assume any mi.nimum of $1.00), which is an annual percentag� �
responsibility concern:i.nq property lines or ia any rate of 18�, ahall be applied to accounts that are �
way guarantee their accuraay. If property pins not paid within SO day� after completion of any ,
cannot be located it is recommended that the aork invoiced. All materials will remain the �
customer have the propexty aurv�eyed. property of ACME FENCE until all invoicea
A(�II: F'ENCE mill assume the responaibility for pertainiag to thia job are psid in full. The
having �itnderground public utilitiea located and customer agrees to pay all interest and any coata
marked. 0 Ho�ever, ACME FENCE aseumee no incurred in the collection of thie debt. '
reapone'ibility for ++*+mmrked aprinkler linea, or any ,
other >>„m%�rked bu=ied lines or objects. The
cuetomer�°� will asgume all liability £or any damage
caused by directing ACME FENCE to dig in the
++mm�+ate vicinity of known utilities. '
The final billing evill be based on the actual
footage of fencing built and the xork performed. ;
Partisl biliing �or materiais delivered to the job I
aite an work aompl�ted may be aent at weekly I
iatervals. Adjustmenta for material us�d on this
Approved & Accept�d for Customer: �
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Contra��t Amount: $ 1975.00 T customer Date I
Down Paymeaat: $ Ac p o A E'EN : �
Balancie Due: $ 1975.00 / �G / —( �
ISalesperson Date
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