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<br />I he:re:hv ;mthorize: the: tollowino inclivicll1al~ to annlv tor ancl ohtain ne:nnlt~ <br />--------' ----------- ---- ---- ..--0-----.--------- -- -Tr--, -.- ----- --h---J.--------- <br /> <br />under mv 1iccn~c~ <br />- -- - J -.-- <br /> <br />i. \<\~\L ~\~~\ l'Q <br />? :5 ~L{ '6 Qv\~ ~ - Secu~li-Y <br />3 ~o r0 ~\'b ~l ( e <br /> <br />1 hereby fttlLnn thftt the i!ltormftt!on provided O!l this ftpplicftt!o!l is true ft!lQ <br />correct to thc hcst ofmv knowledQ'c. <br />~ - - - - - - - - .- - - J - .. - -. L1 - - <br /> <br />. (~ ~R ,4ND RSHEE~METAL <br />Date<t 1/-1 ft,- 01 . ; ~~ 7700FOftT KlNGRD <br />Contractor ZEP.HYRB1LL8, FL <br />3354J <br /> <br />STATFOF F1 ,O~tnA <br /> <br />COUNTY OF _.pAS c..o <br /> <br />Tlu,,: thrp.poim) itl~tnlmp.nt w-a~ -ar.knowlp.npp.o hp.thrp. me: on thi~ <br />---- ----0---0------.------- ..--- ------- ..----0--- - ----- ---- --- ----. <br /> <br />--11L- day of _Nov.e ('(\ htY" 200..:7 <br />~ ~~~~~~ <br />personally or who has provided 0(1 It <br />as identification and who did/did not take an oath. <br /> <br /> <br />~r-n.2~ <br />Notary Public .::J:)JIJ~ It rY\ , ::]3 Adw <br /> <br />$~~'~~ DONNA M. BACKES <br />S*r;;;."':~ MY COMMISSION /I DO 429701 <br />'~~i EXPIRES: JlII818. 2009 <br />'Rf..\\I'I-' Bonded Thru Nolary PrtJIlc lIndenrior8 <br />