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<br />-- - - - - - - - -- - - - - -- - -.- - -'~- - - - - -- - - - - -- --":---1 <br /> <br />C E N 1 R ~ L P b R n I r 1 <br />f~A~~CCi {=:OUt~T~t1 FLORI[iA <br /> <br />J:.ONTh:!:\Clcr\ ';t~ tj():';:::;l:~:' <br />NAME: GARY _ STEVE <br />ADDR= 37740 GLADES LN <br /> <br />,/ !;:.: T ~ ? E, F' ("t "{ F~ l~11 L_ L. "::; <br /> <br />f~ L : ::: ~'.:; ~~~~ o:'.} :t <br /> <br />DATE: 1)/16/')2 <br />F'f::CE ~ t ':JF 1 <br />I :::;'~..JE OF! I c.E. ~ L: <br />RECEIP~ NUMBR~ 00153633 <br />OFFICE: DADE CITY <br /> <br />I ",; c;, <br /> <br />r:UH~ <br /> <br />(HECK # 1 ::::: <br />f<(::::,OUhCE FEE F 'JR fEHt'aT 2:~::74B <br />:)><:;:., 21- (11 :f: -~:p)()(l() '<::17 <br /> <br />CONTRACTOR: 003818 <br /> <br />.r ~:\ T tlt_ {~~'i :)i.Jf,rr:, <br /> <br />,~ ! '", '"J <br />,.' .. .... _I <br /> <br />~; C,-: C: f-! "'r <br /> <br />c:, E~ ;\j 'f E, F: <br /> <br />t.;;MC.UN T <br /> <br />CU!'lFN ( ;:~iC CCUf,n <br /> <br />11 :.t. <br /> <br />E: q ~5Ci ".~ :~;/~1,3(}(j(t <br /> <br />':~;, '~:J .:-, <br />. ~ .' .' <br /> <br />;' ,'" ~ ." <br />f'( E C f:: I ') E D P '; __ .~__.__~"-=-.,...J.2;Ld::-;;.'::.; ~Q...:..::;::.".:~:':~S;;;;:::::::':::.\:~:~':-~~!::_.-A' <br /> <br />, <br /> <br />D[SC,RIP"rrON/F:'Ef~Ml' [1?~1A DR!(.~< <br /> <br />,>**-1,. *~. <br /> <br />':~.U <br />