Laserfiche WebLink
<br /> <br />")A~)C() (~()lJNl"Y, FI.~Or~IDA <br /> <br />. ,'.,. -, ,.. ..'- '~.-'-'" . .,...~- ",-., .... .-'.. ",..~. <br /> <br />1'8111111. Ilu, <br />IIHtA 1\'Jllnllled <br />fllllldf'lII,ltllIIP/1 h,vIlPI ")81118 {l \/Ul((i {(OLI) (J'e ) CUt 11101 it <br />. 4~ ,.. <br />AoT <br />( ;, \II1IIV 1'::11' :111 'In, 3l/- ~S- A 1- 0 ~ \ 0 - Cd. 8"0 g ~dO ~~lllJlli\j: <br />^JltIl8~S!11 II :,111'11 I , ') II Ll ::~Jd l; If (1 15~ t" I-h'<: <br /> <br />. '~(.,",.:~t,.) <br /> <br />. -. <br />'!y' ':;. f .(' 5' <br />. ....(....-.. ....- <br /> <br />(1; f.I. <br /> <br />ClnRRlflcFI!lUllll VP~1 of lJSf1 <br /> <br />p,\;,l)\\(' 1\",)(, <br /> <br />tHAl-1m'( In 1 A'I ION IMPAC I' n~f: <br /> <br />nAte: <br /> <br />~;'1 HI /1111: <br /> <br />t:}(oltlpl ,. I Yon I .'11\10 <br /> <br />llr,w I )elnltnln8d <br /> <br />II \1pni:l 1'00 1\1 \11 lllnt :~ <br /> <br />i ,'\ i~" 'il <br />- .~-,. -. . <br /> <br />/(JIlA 1'10, <br /> <br />IAt': <br /> <br />~uii(16Li~M:;^(;T PEi~' <br /> <br />Acea 111111 <br /> <br />1:}~r111Ipl <br /> <br />(llf'if1 ) <br />(On?) <br />( ( l! ill) <br />(I ;,;\) <br />, \I'.Yps <br /> <br />r1illqle-Fan Illy I )~1t8('I1Ad I louse <br />Mohlle HOlllA <br />( Hllel nesh IAllll::,1 <br />(;ull(~dlun Fen <br />I I Nil Iluw lJelF\IIllilled <br /> <br />AlnullIll <br /> <br />II' <br />., <br /> <br />PAhi<n At'i!', Tm(";i~F:^TiC)r,ifEr <br />L;:lIld/\(;I:( 111111 I.And (:18dll <br /> <br />1.8ndlolF11 <br /> <br />I{(ilil PHllol1 /\1 :Cl l\ II ,I <br /> <br />nE~r:1 Aallcli 1 ( :IArlll l~eITFJ~11101l1 olnl <br /> <br />1(1I\~1 <br /> <br />TO I AI. I\MOUIJI !Il <br /> <br />F:<'~llIpl I I/ns ,..jl'lCl <br /> <br />'Li n r~ Aih' h:: iT <br />I Jllld /\r:(;()\ II 11 <br /> <br />II11W I )Alennllled <br /> <br />I }-lIlt! Cledll <br /> <br />IHllr1 II )(F-11 <br /> <br />Ff:'H:lIlly (\1:(;1,)11111 <br /> <br />FF.lc:llily (;1 erllt <br /> <br />F8(~ilIIV TutAI <br /> <br />1:)(01111 d. I I \'w; II Nn <br /> <br />Ilow ()elAlIllll1ed <br /> <br />lol.nlAmount <br /> <br />'i~F.8{)Ui~i';r fF:'~ <br />'I( ) 1/\1 /\lvl(lll/-n <br /> <br />[Ill J <br /> <br />l'IOPl-1I nd Fly <br /> <br />Checked Uy <br /> <br />NO l:1':IHIFlCAI E OF Ol;CUP/\NCY WiLl, BI~ 18StH::fl on FIN/\! , If'WI'F:CI'ION <br />"FIH'(H~IVlr~.u UNIII.TIfF TOTAL AMOUNTH '.W 'EIIII^\lr~ <br />FH~EN PAll) N,IIl <br />nr:(;HPII~' I run flY 1\ CI.~N' HAL pr~HlV1nTINB OITlcr~ or "ASCO COI IHlY <br /> <br />;\,I:kllf)wlnd!Jf'JIII~1l1 hp".JW dORA Ilot llllply m:cnpI.81lr:8 of 1:(Jll(~1I1'8111.:8, IIII! slllli'ly Inl:81I'( of 1:1 mpy of IIIIA fOIlIl, pIR(:1nq <br />1110 lllllldlllq PFJIIIIIlIIWIl81 ollllotlt:FI (If 11118 RsseSSI1I81lt 81ld ilIA cOllIIIlII1l1,~ of P8Vl1l811f fur "lAine, <br /> <br />DAII ~ <br /> <br />1;1:( :r::I\/rll Ir{ <br /> <br />1~r:CHI\1 II() <br /> <br />IIAII: <br /> <br />flY <br />