|
�'` �{g ' �1 � ��'4�����������'t���l������1���� j
<br /> --- �._...�.`�„» 1���1�1���1���!�12��14����.�t
<br /> 201'7�i1 __��,___�----.
<br /> R ec; 1Q!.�i0 ,
<br /> , . �pt:18�522�3 I�.. 0.00
<br /> s � t�.00 �, C1�''k
<br /> �1I1�l2t�1'7 3__�'. ' �� �-----�---__.-----�`
<br /> Pl3+sylCfi�[ltiBi�It: r PRIJ�A S 0`WEi� Ph [J PA5�:0 CL�RK & GOMPTRULL�
<br /> �G'fTC�d�r�Cf�i�r�l��i���!'�. 01�������,��� PG ��;,�
<br /> Ttte undersigned hure�i�-gives natis.c itist improir.n►cnt unll 1ae ma�:to ccrtain crak�:raperh;anti in aecordane�ti+�nh Qra�te;r 3?:.
<br /> I�(oriJ�St�aiiv�,tne follau�n�iniernmtiam is pror�dul in this Noti�ofComntencernc:,r_
<br /> .. JFSCftipT10:�DFPROPEft'ri'(1x�ai de.ucri{uion ofdie�ragett��st�ad3n:.::t iTaja�7ade)T.��Ft�l:[a�c�.:�-o�xr�.���..����
<br /> SGSOi\'ISI(}1 ELACI: TR:LC7 Lt7T 1iLDC 4RIT
<br /> Co6� L�F w a�A1 � �5�-�� � "i� . F-�.�.U50 �t���r
<br /> - � t4� - �o S t�'
<br /> ^_C I«l"£ft:1L D• f.RiPTf01 i7F:(1'R[tE'Fatil��'7':
<br /> V' a �s'
<br /> ? Ori:*:Liti3'FOi2.1�7:1T70:\�RLESS�f.11['O 17LUiYTFTfI$LL•S5£E£OT'T'RiCTL•'DTpR7tiEi37PR0'v`E1}.}^�,7
<br /> �.�t��:��r� �,�:t�.�-. Wwf�.�.,,��°�a�� Q�� �.�� -�P„�,����
<br /> i,.tntcr4a iti prarctn-
<br /> :.h`amcaiuS:ddru'Sawi�t57mpl2tiiiti:oic:tr(itcli:s�.�t!'ruin0�.-rii�adatas�rY.
<br /> �_r.C�\STG_1G'Y08'SiR4H£. V�&l� ������i� ••� .-_- .
<br /> 'Ccr.uaao:'snddres:: a749 ��_��� �.? � t4 C. tix?lwr+amlmh� ����9UT"'ClV`¢�
<br /> 3. Sl'•iLEl�'fif�4?IioEtc,�rnDF�filcc�acmmi6ondts�chC1£
<br /> w.::�:tic:�r.��dar�w- �/� --
<br /> hifiOr.,Autlth::- rL{,�� ��mewnoPhmt�:
<br /> G.2.LL'.�l7i:lt`S�\'13�k13: �1/ �
<br /> I..:si.r'scu.ircss O�l�+"' h.Phot�c nutu6cr.
<br /> i. P.:rsans«ichin rhe Stat�ul`F30�c2�.'��s�nacc•4 b�{}ancr ugon rnkem natiCrs[u'other dacumems mai 6x s..n ed as prrnidcd ht-
<br /> S�an 7I's.i3{1}(�):__Floridu 5'aut�
<br /> a��cccrdadart-� �,���
<br /> l p_Aafln�r.vmtstr,;aF�'zii_cmtc3 persoac �
<br /> S.:�viacid'ui�nmhimseIlurlr,.[,el�.Otmetdesienates d� � n_`
<br /> torc+xiv�acao.r-oFthet_icua';:io�icsasgra�idcc�FnSctt- ?i3_23{'s}iL+},1-7t�tdaSrawtes.
<br /> h.Phana:uwih:r�tic�er�+no�cauity-d:sirn.itr,sMrQ�mer. �, !'"�
<br /> • 9. E:c�irtian da�uf notice oF�:om�ss�icc:ne�t�iWc e.epirdtitrn aae t��ll ba 3 y�r f'rnm t�e ciata afrca�fin�unl�s a ctiff�reni clate u
<br /> S�FCCihZd1: -�0 _
<br /> ti�fiidNC:fiC30tTi'�.TLR �t,�lY'PA�r'liLt�TS�fAf7C3T'RfCOSiJin�RA!'IbT'!'iiGL1'F'T{2.4'i'tn'tif3F'17IL-�i7TtCL•OFC03.i'1tttiCL-.LtL•1!T
<br /> �ECc'Y,1SIUEREDR4lP�I�tt?PEitFAY3iER'fSY1Ni)�R inPT�RiiS PARTI CE+CLIn�d71�l- T-7_f)Rii}AfiTA'!Z -�a't+2i)L',u.
<br /> R�?"t'7M1S'O"JRPAT7ti(T1l{TIC`EFORP�bSPR()t�l'rfEV'k3701'4iiRPROPi�tSY_ AiVOT10Et3FCO,1dIv3L-1?CF_�{E>e•lIL*STSE
<br /> R�'COfiDEDs1,��t3PDSi'EDC1\1?[3�303StTE$ET•'d't�7AEFII'ST�BSPf�iDt IFTt1FiJ\'TF�.�TC}O&�'ATtd •3'ihi�i.CTtitC CU\..T�'LZ.i
<br /> �1TII{YOCi�'LE..'tC}�,P O A�)A"t'YOILti�BL-TORF CO1�S5,i£LiCTi:firrdOP,.t�OR RECQRI?I'�ilGS'Oiiit�lQ11CL•Ul'C C7&$t�fE�C�SL`-t'1'-
<br /> y , E + '\���Li.:L�V�j�l i . ,� ��lS.!
<br /> ( �guature oi'f3�°acr ar Lessea!or�tirne�r s orLcssec's tPn��'ame aad Pravi c Sign�ror5's Titlrlf3#�ieei -
<br /> :1utLtsrizeJ OfticerllDirrct��riP�rtnerni:in.�ger)
<br /> sE�««c r�
<br /> Count�o� �'"
<br /> 'i tic tarce�ain�.inslruir,ent c��s acimmsieds..d betbtt ma Utis G�" ' ��� -P � /
<br /> o, �� �1�1i�r�, ���c-�r�� _�S t��Y"
<br /> ` ,, n_(,�� ��i�,};�{r,�n) {r,fpe of au`Jltuih!-•-c_�O�ccr_irsYsi�e,atta-ncy in ia�1"t
<br /> fior /�d
<br /> (nam�ofpariy at�6chalfoP�vnom insssvrnent n:�s a-e�esated)
<br /> Pe-rst?ttallt Iiuo��n �rPraduced Idenci�catitYt-_,_.�'yFcoiiaenti�cati P udac
<br /> �.....-�
<br /> .
<br /> „�,,,,. , � ,
<br /> :�`�;iN�;, t�LEX�tt�td#�4g0448
<br /> .�' MY CQ �
<br /> ���` �X�ii���J�fru�ey 13.�0�0 cP�-;n�T�pr er5tarnp Cemtllis5[ojted i��amaof�orar�Pu6licj
<br /> , ,• vb+�twtsi wr"'a`°m
<br /> �.IG���98 8'5�
<br /> 3r:10-1=-I_'
<br />
|