<br />NQU-15-' 95 WED llZ!: 45 ID:
<br />
<br />TEL NO:
<br />
<br />11142 P02
<br />
<br />" .
<br />
<br />CORDI'I'ImQl OF PB8III'l' UTlDAYI'l'
<br />A. 1llD'l1Cl: or ODD RB8TIUC'rIOIIS
<br />fte .......... IIlIIrIWIl1I tat WI Jalt .. III DiICt to ..... nltrlcu." ..sa III .. .. 1IItr1cU.. till C1tr
<br />,.1...... 1Ile............ .........Ulr for CllIpll.. ..~ .., lfPllabla .... ~.
<br />
<br />B. UllLI~'" ~ AlID CQrIUC'I'OR USPmSIBILI'I'IBS
<br />If tit __ .. Hnl1 . ..tllCter or caatOi:tin to ~.n, diIr., IIIl11d111l to .. U..... Ia ... i!U' T~ IIltl
<br />ItIta _lGDl~. If tile lllIItnctor II .. 11__ . IIIdn4 lr Ja, ~ III _ ... ..... III ..
<br />dtll for . .'11'111 I .iobtiGl.. ItIt.t I.. If U. __ or iItIIW uMb.cbl.. .. ..all . tit IIIIt n--..
<br />~ ., ...., for tile taIdIlJ ..., tiler In ..... to aIIbIct U. cu, of II(IIIrdllJlldWIg ....tIIIl, (113)
<br />JlW&ll.
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<br />~ if III __ .. mil . CIIItrcW ar ClIItncbIn, .. II ..... to .... tile ~....(.) .. ... If tile
<br />"c.trlIcttr a.eu." fII WI .,"_,.. far t6IB diIr tdll .. ,....,.cb1.. If III, . tile _ .. . tal .,..,
<br />JIll .. IIIICItIII - .. rItIIr _ tile ~, an ~n.I. far tile 1Ild. If tile ~1ICtI. .... .. to ..
<br />. ~ tIlIt III III . 1IftdtIm tat .. II _ JllllPll'I, 1-" .. II. IItttllt II ..... llridJelll iii tlI
<br />fitt of IIfIIJ&Ib.
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<br />c. 'I'1UUI8P011'fA'I'IOII DlPAC'l PBBS AIm U'l'ILIrY CDIJIBCTlaI PBB8
<br />
<br />D. ~~BN LAW (CIIAPrBR 713, PLOIUDA 8TA'I'UD8, U ~~)
<br />I artl, .... ... .... atll. of "fladda'. c.tnctJIa .... .. - _'1 ~
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<br />"--, I CIrtlf7 tat 1 ... ...... I ClIff Of tile ..... dIIcriIlIl1 ... .. __ II ... fdtl tit ..u. It to tal
<br />___ Jritr to -"t.
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<br />B. ~<<*ImR'S APFIDAYI'l'
<br />IIBttfr .. II WI ..,lkIUII illCCIftb IIIlI tat 811 _ a" III be fa ....... Ittl all
<br />lIflJabla ... ~ ..u.cu., alii, III .... ..........
<br />Ippll-- .. ....., ... to IIIbia . plmit tlI lID .n .. iIItallltiol . iIIIaa4. I CIrt1fr tlIIt . .. .
<br />illtlllItiGI .. .-ell prlar to ~ If I ....t III tIat 111 *' tdll .. ....... ta.. ...... " all ...
<br />DlIlI1atlat..a.tiol, atJ ...... ... IIIIIIt_, .. ........ I ,_.... iii till jIdIMdIa. I alii
<br />artl" tIIIt I ...... tIIIt tlI fI!III1au. 01 ... ~ .... III ...., tit tlIlIItIIIII -. III _ It Ja
<br />. ,....1..UtJ to HIIItl" _ ~ I Mt ~ to III" ClIIPII... 1IlICII........... IlIt .. .. lJIltII to:
<br />· 0IIIrt.- of ~ IIIIIItIaI - ewr- ......., IIItlIIII an. III ~ ....Uft 11III,
<br />..,..... ~
<br />· =. mlltlr .. ~ ~ - 1I1Jt, ... ........., IIItlet an., Iltldll..._
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<br />PIarUI,rtor to pemlt ......
<br />I JIIIIIt ..... IIII1l .. ClIIItIIII to .. . li~ to ~ tdtl tle ... .. .. . Malldtr to IIIIIlI, ~ alia', ..
<br />.. -- ., ,..... 01 till tIcIIdcIl CDIIII, _ IIII1l ..... fII . JIDIt JftIIIt till ...... ClffteIIl fill tIIanIfbr
<br />~ . CIIl'ICtltl " .... II ,., ..u.:tiaI, . ........ of ., CIl1a. Inq JIIIlt ...... ... .... ~
<br />.... till ... ...... ., .. peait II -.. lIlWa iii .... of ...... .. U ... ........ IlJ "Jalt iii
<br />......... ar ........ far . .... of iii .... IftIr tlI U. tIII_ Ja -... ........... II till. III III
<br />...... fir till -.t II" fa .... of f1UI. ... ___ ....1 .. rIIIIItIi Ja wltbt to . ...... arrIcIal. II
<br />........ ....... .. lie ..... ..... ... IIa .-II ,.w, ar till proJaet llill .. ......... .......
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<br />~t;=_._~
<br />
<br />....~
<br />aim ,. '€ i'€AlRN.tJ(')
<br />The forego1Gg 1aau..~ ~ledpd
<br />befon - till. /~ 9.f:a. br
<br />.,J)..4~ I4-'-B ~Jf!.. C:;~N
<br />IIIao 1. ~ ..... to _ ... ....
<br />
<br />~~.d
<br />r. )
<br />(.- 7n-J. Priatlld or 1tMped)
<br />mDft MrrIC
<br />
<br />:~..... /ASLO
<br />'1'IMt forego18g UeMt C A(!~"""
<br />before - tilt. I 0, 1'~ br
<br />Ii Lf~ ~/CTbN T~
<br />wIao ia lr to _ or wIlD ....
<br />prodaced
<br />.. Uf1ca~ -wIlD did/di. 8Dt
<br />c-. .~ ~~
<br />(8 )
<br />
<br />
<br />"\~\<~ PU8 DIANE M RICKERT
<br />.'" n ("" My Commission CC463S76
<br />*' '!fiiiJJJ * E"pires Jun. 28. 1999
<br />oJ> ~,'" Bonded by ANB
<br />~)' 'I-~ 800-852.5878
<br />I! OF fl.G
<br />
<br />~~"Co
<br />.. ,.
<br />o -
<br />z ..
<br />
<br />ANGELINA DAVID
<br />Notary Public, State of Florida
<br />My comm. Ixplrll Mar. 13. 19U
<br />Comm. No. CC 355115
<br />
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