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OR BK g 172 PG q,6'1 <br /> 2 of 5 <br /> (b) Phone number: 863-619-7]03 <br /> (c) Fax number: 863-619-7995 <br /> 5. Surety Information: <br /> (a) Name and Address: N/A <br /> (b) Amount of Bond $N/A <br /> (c) Phone number: N/A <br /> (d) Fax Number:N/A <br /> 6. Lender Information: <br /> (a) Name and Address: <br /> Fidelity Bank <br /> 7807 Baymeadows Road E., Suite 200 <br /> Jacksonville,Florida 32256 <br /> Attn: DeeDee Barber <br /> (b) Phone number: (904)-996-1039 <br /> (c) Fax number: (904}-996-1040 <br /> 7. Person within the State of Florida designated by Owner upon whom notices or other <br /> documents may be served as provided by Section 713.13(1) (a) (7),Florida Statutes: <br /> (a) Name and address: N/A <br /> (b) Phone number: N/A <br /> (c) Fax number:N/A <br /> 8. In addition to himself or herself, Owner designates Dee Dee Barber of Fidelity Bank, 7807 I <br /> Baymeadows Road E., Suite 200, Jacksonville, Florida 32256, to receive a copy of the <br /> Lienor's Notice as provided in Section 713.13 (l) (b), Florida Statutes: <br /> (a) Phone Number: (904)-996-1039 _ <br /> (b) Fax Number: (904)-996-1040 <br />