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HomeMy WebLinkAbout0665 ' . ti Owr tu?u~ O~M ~~)t ~ HAMCO FOHM 9 ' I . t) t~~ I i ~•.I S, ~y~ ~ . 1i11~i ~111~'i-I~UIII f:.HU~.~.l il~u ~ ~t~r . . ~ - % - ~ t :1 1~ lu . . . 6r Cl.Yl1~~ G. (x)LlQ?K I A~ a~ i n~; ! c:i.i~c 1 t ~~nf {wrfr. fu , hil.l.ll: Util:11t ~1~.1W.1`G 11 .ui:l i:11:t.1''~ 1'1'1'1~4L\ ti1AW.1\t~~ hi~ +:ifc• u~huse ~x?sfo~~lc•~ a~~~~r~ss ~s ~ .v ~ . 5 ~ ( - ~ t ~ T , , ' - , seti-un~ {wrfY ' cN4r~•~r wd Mi~.w ~4 Nr~ Iwat y~rt• •rf .~..~af p?~~r' ~!i .rlydr ua~rt*r ~wd ~~~1 Vu• Iry~l ~rMnr~W~~t~. ~aA ~ww~ d .r4.wlw4 ~~J ~Iv .~s.~~r.r• ~~A w~w ol i~~pw~~..+N •Iw~e.~~ tlr ~..aa~~ ~u ~q•N w~ ~~yy.~n ~ ~~~?[~1`~ Tl~at thr sou~ ~irs1 ~~ur1v ~~~r a?u1 u~ i~~e~~ulwulwn o~ 11~~ sum of t j[I. 0O . ~n 1~pnt~ poit~ hr t{~e •o:t~ ino+u~ pa~ly. f{~~ rMe~pl u~~~Prroj a F~~?rbr o~•~enuu~~nlMr~ aoe~ l~errf~r nn~ut. ?e ~rase oru~ yufl c-~aun unlo th~ iatt/ iea-u?u/ pa?Ir {wei•rr. a~~ 1{~~ ny{~f. hflt. ~nlr?ril. tlo~n~ ana c~~mont~ u•{~~cti ~ ~~r f01~ rl?/~ ~Wl~r ~4! AIi~ ~O ~~f J0~~11'/Ite ('PfCII~)~ ~0~. nIK"p OI (IOfCM~ A~ ~Allt~. }1~40~l. ~rl/1{~ U~t~ ~Iflp . in t~e ~'vunlr oJ tit. iAlcic S~ar~ o? f~loric~a. . ~o u•~r I.ot I~3 ~ Klcxk 1~ k~.til~tXN~ ~itxl i~~ icm as Ex~r E~lat thc rc~c~f rc~orcicYi Yn {'lat E;oc~k {>a~c 1". of thc f'~ihl ir kcrUr~~ of ~ St. Lucic~ t:o~mt~~. Flori~. ' N • , ?y~~ L•C,i~~~~~3 r~-~~? - , ~ _ . . .,..~i: ~~>r•~~i;.. r`.:~,-~~ •.t~~: .:as •E, .~~'c , '~:~crd I J~C' ; . , ~ _ , ~ ? .S ~ s:: i . _ r,i~ ir . . . :.c_~or.:... . k S G ~ - - - - - - - , e ~ . . _ • • - . . • ~r. . . . . T; :ft - - - - • . - _ . . . : . U` . t! ' . _,'1: : , . . , 11~~: :r~~ \ . . . ~ ~ "~''t~ 4ii'~~ . . _ ~ "T i~,',~ . ~ ~`k.~5t~ ~ . .)t,. : ' l~ i f,r _ ~ . . } . . . . • _^~~si ~ t l~ _ j ~ ~ ~ ~ ~ ~ ~ ~ < ~ v^. 3 0 t ~C I o ,3 ~2 PH ' 7 b I P ~ . ~ - . . . _ . . ~ ~ ~ `~.~j ~ ~ ~o ~auc and ~o ~iold ' l~~r ~am~ I~~vf{~~r u~dti a~~ ant~ s~npu~ar f~w app~ert~nane~s Itirr?urtlo ~~~•lant~uip w~n anvu•~s~ appw?tau~u~g. a~u~ a~~ t~~~ vilufv. nA~1 (Iflr. Intvrcil. I~~n. eywlr und ~b~~+ u~tiaf. , ru.~s•rt o~ tf~P sou~ ~~?:t pa?t~ ~•~I~pr ~n lau~ nr M~u~tr. 11~~ unlr p?opt? use. ~?e~nr(~f and E?r~oo~ o/ 1~~ aot~ ~ ' s~~~.?ret~ waNy Ioirrrr ' ~n ~~~f ~ T~~ sc,~~ ~~r.~ ~uv~~• hns ~~i~n~•d e?u1 iw~~Pd 11~~~~ ~rr~enls th~ du~r and r~or 1 ~ `'r ~irst a~vv~ Ivntlen ; t ~ Jtqnet~. s~~ a(k~ rl~~ioe?r~~ in ptesenc~ uf ! R ,l 'j ~ , f f C n, s , ~ ~ ~ i ; rj : L a .t t _ ~ i . t ~ ~ , t. ~ f ~ ~ - - . . , • ~ ~ I ` t' I ~~t1X~;(~. c:e~?cn1~ i:~ ~ E ~ ~ , ~ . ~ , - ~ i E 1 i . , 4' 1 r~ I / / ~ V ~ . I . . .y . E I ; ~lE t)F i'i.t)$,lU~, ~ ~ ~ { a~l `~iY t)F • ; i ~ ~ " ~ ? ~I E 1 HERt:BY CERTlFY ~Aa~ vn ~r~s dar, t~ck,n mt, an ; ~.tl~~ ~r ~ful~ ~u~M~t~r.d m th< <ut~ af„r~wd and ~n t!?r (:uun~~ a(~a~u~c1 to ta?~ ir?nu~.k~lRm~nt~, ~KfM~M~Ir sp~uated ~ . c~1~~,I~• (czlunht.~, .i ~iti~;l~~ .~1i~lt s, m. ?n~~~.r t:. the ~NIV.1: a:~.,r~l..~~ ~n and `.h,~ r~~~..a.: th. (~~r~~.:nr ~n~~rwn~nt and •~krK~~.k~1;rd ~,.~r tilf I~IAt •~r• ~.if~~ tflr tJrt:r . / ! NII~F.ti~ tt~y Rand ~r:~! ~ft:~:al i~al cr: th. l,.v::!~ titst~ I.etl ali~t.u~d ih~, day d ,r _ ~ i t) . , ~/i.. .~I i ~~7~,,;~J \C~T:IT'~' ~'lifli li , , i . ~ri• ~ crr: iv» ~•x~~ i r~~~ : i ~ . ; i / hn lris~n~ , nr ~n J f~y . - ~ Gay, ~ana e~ , Sa~ ~~,~f~`~~tie ~nsu~ance Gorpo~at~un _ ~ ~ ~ 321 Sou'!. S~c~,~~0 ~t~eet ~A,,C ~ , ~ Fort P~er F I,~;~a 33~50 ~ _ 4 z ~ : : ~ _ `~-L _ . ..<,S~3b, ..r