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-- � - seorr�s � � <br /> ,� . <br /> _..� <br /> aR cv�u�inoN►�� HEann►�� <br /> ' Always On Time...Or rou Do�r't PayA Dime.�� <br /> To Whom It May Concern: <br /> Please be advised that I,James Dunbar, do authorize the following persons to register the license#EC00000146 <br /> EC00000146 and to purchase/pick up permits on my behalf. Please update your records with the names provided <br /> below: <br /> Kenny Newman <br /> Mario Martinez " <br /> Scott Wood <br /> James Mullis <br /> Kelly Hyde <br /> Matt Wynn <br /> Marlly Sanchez <br /> Alyssa Preis <br /> Therese Sheehan <br /> I swear that the above statement is true and correct to the best of my knowledge. <br /> � / <br /> A ant Signature Date <br /> 5� �� <br /> r �,.� �._._ , <br /> Affiant Name <br /> Sworn to�d subscribed before me this�day of�J��'`�2017. <br /> Nota Public <br /> / ;�,�'t""�: g��::� :c.,::! •a " �AIR <br /> , / ��^r i•; <br /> \/ =•• „' +: M•. <br /> Personally Known =y2osg9 <br /> ID Taken N07)398-0�53 Ex �019 <br /> =i���`•'�:•: '�'� •s~' . �.NPI FA� .�''�'��: MELtSSA AkN fAtR <br /> ''' '= A� �F920� " MY COM�IISSION N FF82086g <br /> t•� .,p, EXP S Se m 2 <br /> .• .��,••, ExPFFc .�22 2�)18 �"' ��•,••' �E We ber2 2048 <br /> N07 398-0�S3 F�w�a...�. ,,�, NC7�398-0t 53 Fbrttlafva�y g�,��, <br /> 813-651-3485 <br /> 5808 N 56th Street,Tampa, FI 33610 EC00000146 <br />