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<br />cr:::i'rn~r~L F'I::J~MJ:'rTl:NG <br />Pl1'lSc;O COUNTY ';t FLCU:~ U)(-'l <br /> <br />:ONiFMcn:m #1: <br />N('~Mf:: :: J S 1- ~..' !K3 c~N'fEF, F'I:;: I SE~:) I NC <br />~I)l)F<:: F:' If (j., BCJX 20~3:;.I~:.~ <br />:/8T: TA~Pf FL 33622 <br /> <br />7cm:: <br /> <br />iCCNT <br />1:1.4 <br /> <br />~t;:C;I:~IVEi) l~Y <br /> <br />CHECI< $j 2"U 2 <br />:.)7~!j~.~4 l},~L.J:l-iA TEI:~I:::.. BU)(,.. 2:1. **::.!()';,' <br />Zf~F:'HRYI-lILL.S FL <br />j::'E:F~M J: T #.... f.J () :I. S <br />TDT ~'1L. AMOUNT:: <br />ACCOUNT CEN1"EH <br /> <br />c;o <br /> <br />~l.. ~~9 <br /> <br />PNY <br /> <br />AMOUNT <br />1:J .. :79 <br /> <br />~:1 ~5() nn ::~\!;~:;'.)()O ... <br /> <br />.n) <br />A_ <br /> <br />.', <br />I <br />\ <br />'..._\ I\.... <br />"~ <br />..... ". ... u.. ,.- '-.-.. .... .....I~....;I. 0:-0 _.:._......... ..... .... 0... '.n._......._.._.... ........._ __._ ....__._._..... <br /> <br />D~nl:;::: 1()/~~:':J/07 TIME:; :J.O::2)!.7j <br />P(."l(:iE ~ :t. i:lF 1. <br />1!3~:H.JF OFF' ICE :: N <br />RECEIPT NGMBRn 01056378 <br />OFF:J:I;;E:l NEW PDfn RICHEY <br /> <br />DESCRIPTION/PERMT DATA <br />*~H.~,~H.. ~;)c)1... :1::0 WI~STF.~ FEE <br /> <br />l)R/GI~ <br />60 <br />