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GENERAL LIABILITY <br /> • <br /> Ca ]� RYJ✓ cc GFL 1003926 02 81 12/09/2010 12/09/2011 <br /> j � <br /> PROPERTY& CASUALTY 12:01 A.M. Standard Time at the described location <br /> INSURED'S COPY Date Issued: 01/05/2011 <br /> ........... <br /> :.......:......: �.........................: Q�fNT ....-................ �........ �.. ......�Ob 25130 ::::::: <br /> UNIVERSE SERVICES STACIE A MIXON <br /> PO BOX 9738 C/0 LOIS SIMMONS- EAGLE INS <br /> TAMPA FL 33674 -9738 10424 N DALE MABRY HIGHWAY <br /> TAMPA FL 33618 -4134 <br /> Telephone: 813- 545 -9351 Telephone: 813- 968 -2886 <br /> The location of premises is at the above insured address unless otherwise stated below: <br /> 2304 POTOMAC MARK PL RUSKIN FL 33570 -6323 <br /> • <br />