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<br />MAY-27-03 11 :36AM <br /> <br />FROM-DEMPSEY ROOFING <br /> <br />1-863-687-4274 <br /> <br />T-762 <br /> <br />P ,01/01 <br /> <br />F-423 <br /> <br />i <br /> <br /> <br />Da.:~ <br /> <br />I <br />I <br />I (863) 682-3383 <br />(800) 725<l7151 FAX [a""l 5a7-4274 <br /> <br /> <br /> <br />I <br /> <br />PO BOX 1128 <br />LAKELAND, FLORIDA 338D2-1128 <br /> <br />To Whom It May Concern: <br /> <br />, <br /> <br /> <br />C~.) ~ i <br />(Employee Name) I <br />to pull and pick up the COMmercial Roof Permit for the following job: <br /> <br />I Larry A. Dem psey. give authorization for: <br /> <br /> <br />.Job Name IlL <br />~ Gc{/J (3 D <br /> <br />AddreS8 / <br /> <br />ft~h;!lS.( p( ~3SLj <br />City <br /> <br /> <br />Employee Signature <br /> <br />STATE OF FLORIDA <br />COUNTY OF POLK <br /> <br />Sworn to and subscribed before me <br />This 26 day of ~ 20Q3. <br /> <br />~LJ~ <br />~ry Public <br /> <br />I <br /> <br />STATE OF FLQRIDA <br />COUNTY OF fllOLK <br /> <br />Sworn to and subscrib d before me <br />This day of 20_. <br /> <br />Notary Public <br /> <br />p.\'l. Y 1>(; OF iIIO l\Rr <br />0' 6'<. NANmEWll..l.IAMs <br />~ ~ ~ COfoIMISSlONNUU~ <br />-; ~ 00144743 <br />1<- ~ MY c:c:>a.tNlSSIOIII ExPIRES <br />OF F\..O AUG.. 26,2006 <br /> <br />COMMERCIAL ROOFING STATEWIDE <br />STATE UCENSE tlCCC037D07 <br />