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10-10464
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10-10464
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Last modified
2/1/2011 9:33:10 AM
Creation date
2/1/2011 9:33:08 AM
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Building Department
Company Name
ZEPHYR COMMONS
Building Department - Doc Type
Permit
Permit #
10-10464
Building Department - Name
SUN MEDICAL CORP
Address
6713 GALL BLVD
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Certified Corporation Statement: <br /> ACKNOWLEDGMENT OF VENDOR, IF A CORPORATION <br /> STATE OF Florida COUNTY OF _ Hillsborough The foregoing instrument was <br /> acknowledged before me this 01.14.09 by Kid Kiester - President ._iLah.l, /QA. <br /> (Date) (Name of officer or agent, Ie o fficer • rag - n <br /> of K -Tech Solutions, LLC a Florida `— corporation, 0 <br /> (Name of corporation acknowledging) (State or place of incorporation) <br /> behalf of the corporation, pursuant to the powers conferred upon said officer or agent by the corporation. He /she <br /> personally appeared before me at the time of notarization and is personally known to me or has produced <br /> Florida Drivers License as identification and did certify to have kno • - o the matters stated <br /> (Type of identification) ,,, A,,,,, <br /> te <br /> S <br /> in the foregoing instrument and certified the same to be true 'sn a![ respects. +P � t; � „�p NDrCE <br /> Subscribed and sworn to ( affirmed) before me this 1` /day of 'JP G'‘' -; " • Y Cn;: mrss ui on b/� Sate of F� . <br /> n . p • <br /> i Jt;���il,�� 1.�_ � i � 1 " Commission number t <br /> i) c r �L 11.. <br /> — � @on o(,'n ;ss�n # gy ° p Ja 3 2010 <br /> ( icial Notary Signature a Notary Seal) ' ? a N <br /> Commission Expiration Date rY Assn. <br /> (Name of Notary typed, priothd or stamped) <br /> ■ <br /> ACKNOWLEDGMENT OF VENDOR, IF A PARTNERSHIP <br /> STATE OF COUNTY OF The foregoing instrument was acknowledged <br /> before me this by <br /> (Date) (Name of acknowledging partner or agent) <br /> general partner (or agent) on behalf of , a partnership. He /she personaily <br /> appeared before me at the time of notarization and is personally known to me or has produced <br /> as identification and did certify to have knowledge of the matters stated in <br /> (Type of Identification) <br /> the foregoing instrument and certified the same to be true in all respects. <br /> Subscribed and sworn to (or affirmed) before me this day of <br /> Commission number <br /> (Official Notary Signature and Notary Seal) <br /> Commission Expiration Date <br /> (Name of Notary typed, printed or stamped) <br /> ACKNOWLEDGMENT OF VENDOR, IF AN INDIVIDUAL <br /> STATE OF COUNTY OF The foregoing instrument was acknowledged <br /> before me this by _ <br /> (Date) (Name of person acknowledging) <br /> He /she personally appeared before me at the time of notarization and is personally known to me or has produced <br /> as identification and did certify to have knowledge of the matters <br /> (Type of Identification) <br /> stated in the foregoing instrument and certified the same to be true in all respects_ <br /> Subscribed and sworn to (or affirmed) before me this day of , <br /> Commission number <br /> (Official Notary Signature and Notary Seal) <br /> Commission Expiration Date <br /> (Name of Notary typed, printed or stamped) <br /> K Y TECH 7604 Industrial Lane; Suite 4D, Tampa Florida 33637 <br /> SOLUTIONS Office: 813.984.7000 Fax: 813.984.7111 <br />
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