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�--- — <br /> . � <br /> > <br /> { <br /> ✓�� + � �j I t����� ��' �� /1 D ��.2 r�i h/� f-i t! � <br /> Address Address <br /> � � �J���' _�.JA�� 1...-.t�.,, ��- '��J S~,�� <br /> ity, 5tate, Zip Cade City, State, Zip Cod� <br /> ?)5�� �'7'�i��f'� • �5a , � �7 9�x'S� <br /> rea Code and Telephone Number Area Gode and Telephone Number <br /> STATE 0�FLC3R(DA <br /> COUNTY OF PASCO <br /> xr� <br /> The foregoing durable power of attorney document was acknowledged and subscribed before me this 4J day of <br /> NI�Y. 2018 by�ladys Rivera,wha decfared his or her identify and who has produced_�L I�r"j u�,�,`��S� <br /> _ 1�� � �d -'3,��7a�{-D as personal i�entification. <br /> Notary Signature:�� l�G, � <br /> Printed Name: ,,'�r:"" .' <br /> Notary Public,Sfate of F! "" '= GOmmission#EE 849525 <br /> -�= Expires November B,2016 <br /> My cammission expires: `� ,� a�am � <br /> , <br /> � <br /> � <br /> � <br /> � <br /> 4 <br /> ! � <br />