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<br />I",J <br /> <br />'-- <br /> <br />~ <br /> <br /> <br />;:~) :<t-~":;, ~,.'~;:-':~~,:-c <br /> <br />I <br />. <br /> <br />I ':J:lk <br />(. ,~~~.. <br /> <br />.~..... <br /> <br />" . "'''. "-' "'''. ."'" <br /> <br />::.....~...~..~..,:. :.~..f..i :::1 <br />-. '..,' "" - -. --. " -''''-.- -. ''-.. "'.- -~- ." ., <br />'''''--.- '-"'""'-'-". ",',. "'.. .,,"'" <br /> <br />-,~~~; ] <br />: '.,,,,,J~. '. <br />"~_"i6, <br /> <br />....--:~,=::.:::.,..:. , <br />STATE OF FLORIDA <br />DEPARTMENT OF FINANCIAL SERVICES <br />DIVISION OF WORKERS' r:OMPENSATION <br />CONSTRUCTION INIIUSTRY <br />CERTIFICATE OF ELECTli)N TO BE EXEMPT FROM FLORIDA <br />j WORKERS' COMPENSATION LAW <br /> <br />; EFFECTIVE, 08/25/>007 EXPIRATION DATE, <br />PERSON: THOMAS G LISNOCK <br />FEIN: 651217:156 <br /> <br />BUSINESS NAME AND ADDRESS: <br />THOMAS G L1SNOCK ELECT'IICAL CONTRACTING INC <br />229 r 7 STERLING MANOR LJO <br />LUTZ. FL 33549 ~ <br /> <br /> <br />I <br /> <br />. <br />\' <br />08/24/20091 <br />, <br />i <br /> <br />I <br />J <br />I <br />I <br />..J <br /> <br /> <br />SCOPE OF BUS/NES:) OR TRADE: <br />1. CERTIFIED ELECTRICAL CONTRACTO <br /> <br />~---'----- ---.--..-----........- <br /> <br />---. <br />