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UMFORM NOTICE OF A LOVA/ VOLTAGE-ALARM SYSTEM PROJECT
Owner's or Customer's Name: mo-ria_ -A1yla e2 P06-14
Owner's or Customer's Address: $2.5 (.% T-e-+.
City: �4ia_ry e State: Zip Code:
Phone Number: 3L-6- qSq -3165t>
E-mail Address: mO'! 1 ; CtkVotrt2 &-kP11104
Contractor's Name: MasTec North America.
Contractor's Address: 806 Douglas Road loth Floor
City: Coral Gables State: FL Zip Code: 33134
Phone number: 786 270-4096
Contractor's License Number: EC0002759
Date Project Completed:
Scope of Work: Install Burglar Alarm
Label Permit Number: /' —1 b— lD�?
Notice is hereby given that a low-voltage alarm system project has been completed at the
address specified above. I certify that all of the forgoing information is true and accurate.
gnature of Owner,Tenant, Contractor, or Authorized Representative