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<br />11 .r <br />i' :.;1 <br />I! J <br />I' I: <br />, i Ii <br />if <br />i ~,. <br />I ~. <br />I f, <br />J i ~I <br />Ii e <br />II ~. <br />II _~', <br />'r='11 t.' I,: : ".0. Box 1957 , <br />I! : Ruslfin, Flor1da 3357 . <br />III J /; I CONfrRACTOR AFFIDA VI' <br />, a, I <br />I 1 r ' <br />!'PLEAS~"COMPLE-rlk HIS FORM, ATTACH PROP <br />IBY FA ..,ORMAIL~r i <br />I, :.,1..... CONJ,:.: ClTytOF ZIlPHRYHILLS <br />~ UCTIQN SEItVICES & PE <br />~ I FAx: 8IS.780-0021 ; <br />his fo ... will be usJ. detemline your eligibility to 0 tain <br />LEAS -~PRINT oRliir PE ! l <br />I usines. lName: F & LECT$C CO. lNC <br />~USines.: ddress: 11; Shell~int Rd. Ruskin, ...1. 33 . :0 <br /> <br />ame 0'- uaIifier: F,IL ELEdTRlC ~O. INC -CharI: 'S. <br />ceTtific e holder) r ,; : L <br />I usincs::relephone: ~1 -645-3191 Fait: 813-645-5795 , om rhone: 813-645-3503 <br /> <br />ype of; OOtractor: t 'tal ~ntraclOr j I <br /> <br />1) Statq ertificatio i . EC lJp0150r Expiratio . Pate 18-3 h2006 <br />, i i I <br /> <br /> <br />~ ~ <br />, <br /> <br />~ l <br />;: . <br /> <br />, <br /> <br />II (813) 6~ <br />E13 39t1d <br /> <br /> <br />I I <br />j: 'II <br />I; , <br />/; I <br />Ii I <br />!: j'. <br />~ : <br />I', I <br /> <br />~I <br /> <br />: .r;j . <br />Ij Electric C) <br /> <br />, : <br /> <br />:.u <br />is 1:- day of <br /> <br />My Commi ~ion <br /> <br />. 1. (~13) 646-5796 po <br />, <br /> <br />8I~~83l3 l aNti ~ <br /> <br />t <br />i <br />i <br />I <br />! <br />., line. <br /> <br />LI :;NSt;S AND RETURN <br />I <br />I <br /> <br /> <br />. n tltough 9-2-05. <br /> <br />: 20tL) <br /> <br />. pi",: '6/7/ vi <br /> <br /> <br />I <br /> <br />. <br /> <br />. dL~lec@aol.com E-Mail <br /> <br />96L99P9ET8 <br /> <br />!9:E~ 91313~/TE/813 <br />