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UMFORM NOTICE OF A LOW VOLTAGE-ALARM SYSTEM PROJECT
Owner's or Customer's Name: S(Ind, f'l' COfILI d
Owner's or Customer's Address: I Z?j(o X6 0101h St
City: Miami State: Zip Code:
Phone Number: 30rJ ' - (0030
E-mail Address: S6of►{Id (E ►m,rncCOYn
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: 14P 7
Scope of Work: Install Burglar Alarm
Label Permit Number: A-`&-a i
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