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STATE DEPARTMENT OF FLORIDOA SERVICES f ' <br /> - F FINANC <br /> DIVISION OF WORKE I FR <br /> RS' IND y <br /> CERTIFICATE OF ELECTION TO BE EXEMPT OM FLORIDA <br /> W ORKERS ' COMPENSATION LAW <br /> EFFECTIVE: 09/ CITA <br /> 15/2010 EXP IRATION DATE 08/14/2012 <br /> PERSON: JUDITH NI <br /> FEIN: 800461779 <br /> BUSINESS NAME AND ADDRESS: <br /> S OLAR INDEPENDENCE LLC <br /> DBA S I ELECTRIC <br /> 3053 ELKRIDGE DR <br /> HOLIDAY, FL 34691 <br /> S COPE OF BUSINESS OR TRADE: <br /> 2- SOLAR ENERGY SERVICE <br /> 1- ELECTRICAL WOR <br /> 0 <br /> e 44p p ? i <br /> l ��. •yy (( � v k 1 aL � '�J' � � r t � <br /> 3 ! �'7-. ' 1 - Q4, ' <br /> y" * • < x i I <br /> „„ AA��--yy {sYt ; F <br /> t 1 <br />