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ryn:i..C:tN , Jddre:. 2800 US HWY t Vero Bch., FL. 32950 _ Pl,ays r4er ! rz-r9�r-rcu9
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r Persons %shin the State of Florida de5ignat+;d b) Own..r upon xhom noticas or other documents ma% be :-r-cd ..c r-.:-71d.d b-
occuun Aj 13 i 11 RalT Flonda Statutes
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D ..-.tune numDa2N grge.,gnarc,. perti➢n+ — --- _
a a In addition to himself or Rersclf Ovmcr designatesIL of
t., recess e a copy of the I. tenor s Notice as provided mlion 13 3 o Florida Statute's
D Plime number ctpawn a enuty derrgtutnl b• O+Nn� —
9 Expiraiton date of nottre of co tmencement (die ■xptratten drw -ill bd I -'_-p froRi d4 date of rccerdl..g e..less a drtTererrr d,.x _
specified) K �0
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County or 'a, . I _.) (a ;
1 ne forago.ng i-struRl.rrt ~:r- rwkrte-ledged bef r■ m■ this „ day
by �L �+ a io y
(M—N oI pe. -.=I (fpd of aAthar:q c officer, 'answc, ,.m mcp ill Stet)
for
Inam- orpartr on behclf of -:hem I.ztrtae+.-•t 7.--:; ::wut:d)
sr Produ■cil Idw-tifiwt:un E� Type of Iden .I ard Pradarcd
COLEEN SULLW A R
lAr %vlWnnlsslild # GG071535 igL.rJ r.;v1 Publicr
' ErCPiREc revruamy 49. 2021
{Pr;. -.e. Type P, 5u.r+ip Carni.+i..rvrred Name of Notary Publlcr
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