145 NE 101 St (10)MIAMI SHORES VILLAGE
BUILDING DEPARTME
305- 795 -2204
Buildin Inspection Request
Dat 'O 63 Time
Type Insp' n
Permit No. Z 0 03 1 1
Name
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Address
4
D
Company
Phone #
For Inspector:'
Approved
Correction
Re- Insp'n Fee
/ & Date
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date / Time ` \
Type Insp'n �]
PermitN P ZDO3-
Name
Address V ' (, ) o / p1
Company 9
Phone # g Of - "1 . 1 ��
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Re- Insp'n Fee
Date Time
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Phone #
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Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMEN
305- 795 -2204
Building Inspection Request
Re- Insp'n Fee ❑
8093
Name & Date
/c9dF
4 `7,.,sse5
Dat
Type Insp
Permit
Name
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
^ C (J)T Address J � ' l - ` /
Company
Phone # l7 ; -O' go q 0�
For Inspector: `/ u_Name
Re- Insp'n Fee ❑
Zoc)3 Y3
Date
Type Insp'n
Permit No. ,/
Name '" V
Address
Phone #
For Inspector:
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Company 0 CU/YI,Q 11
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ROMER
0
Time
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date ,
For Inspector:
Approved
Correction
Re- Insp'n Fee
1
Type Insp'n .L % ► —_4
i
Permit No. - 93 03- )
Name
Address 1 l S / C ID 1
Company aot 1;
Phone # 0-3-• Y 1 2 4 `M
Time 1
Name & Date
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Co 1 a-b Time /+
Type Insp'n 1
Permit No. 9 1 a - �3
Name
Address 1 `'[ S PE ` ` 1 SA
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Compan r f Vice)
Phone #
For Inspector: 'pi
Approved
Correction
Re- Insp'n Fee
& Date
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -220
Building Inspection Reque
ate 10 `2V - 0 -5 Time
Type Insp' V r 1 1■01 R ? --U .L/YYl 1 Y].e
p
Permit No. I� L Wo ? - - 7 - 3 I
Name
Address
Company
Phone #
• Q P .
Ns Kle 101"07 "
30"5
For Inspector: L I b Z2703 & Da e
Approved
Correction
Re- Insp'n Fee ❑
o
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided In this Notice of Commencement.
1. Legal description ooi properly and street address: RIC ,(/6^ 10/ / a At 14 d�� PC
1 _ Y ' D too (' OC� , 1•• 1. . - .Cn.a �_-i-
��
•
2. Descriplio of im rov / e : nt: d �/oU M ! / OJ
od
3. Owner(s) name and address: Qp iPe , Z
E 10 s-1-
Interest in property:
Name and address of lee simple titleholder:
4. Contractor's name and address:
- 7
9. Expiration
different dal
Signature o Owner
• Print Own : 's Name
le of this Noli
is specifi ; , )
• Notary Public
Print Notary's Name
My Commission Expires
00. REC.BII.
20851PG449I
5. Surety:(Payment bond required by owner from coniraclor, II any)
Name and address:
Amount of bond $ ,_
6. Lender's name and address:
s
e,•€2
Sworn to and subscribed before me this :� day of
(€e4 t'Y) 1c,r-■;
02R7659 2002 DEC 09 14:23
pECOrmen ICIAL FtECOROS BAY
OF DADE couv , F i0
HARVEY RUVIN
CLERK CIRCUIT COURT
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 7 13.13(1)(a)7., Florida Statutes, p
Name and address:
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice at provided in
Section 713.13(1)(b), Florida Statutes.
Name and address:
ommencemenl: (the expiration dale is 1 year from the date of recording unless a
Prepared by few cic� \ ,
Address: Y g /U W
-1 -Yee
VY1' -) 1 2 eo
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Fees:
FEE2003 -1036
FEE2003 -1037
FEE2003 -1038
FEE2003 -1039
Permit Status: APPROV
Work: ADDITION OF BI
If there is no permit pac
fee is $50.00, which must
This Permit is granted to the co
ordinances pertaining thereto and
and approved by the proper muniu
authorization. A further condition
ordinances and regulations pertai
by his agents, servants or employ
Signed:
in consideration of the issuanc
with the plans, drawings, statem
myself, my agent, sexy s 95 et
1 - 5) 'Z LI
Zo
O99/5141-E9
Description
Building Fee
Buildier's Bond
Radon
CCF
Total Fees:
79C9i7
Building Permit
Permit Number: BP2003 -267
Printed: 2/18/2003
Applicant: MARIO PEREZ
Owner: PEREZ MARIO
m JOB ADDRESS: 145 NE 101 ST
Contractor P & H ADDITIONS Contractor's Address: 7448 N. W. 8 St.
Local Phone: 305 - 264 -8092
Parcel # 1132060131940 Legal Description:
col b•, Siva
MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 20 & E1/2 LOT 19 BLK 14 LOT SIZE
Amount
$460.00
$300.00
$4.15
$18.00
$782.15
%wil : $30,000.00
019E52000E20 :IE :1 alh9E 4 ^ �
91001
ti II
ZO 44ICC ld iyy '!uie
�f1 19 419 'M'S TOIL � i
ZTIIUZ y g �s, 3ueJ9 Jelsey3lseM
ShIV-1100 ..ir�'
Page 1 of 1
Total Fees: $782.15
Total Receipts: $0.00
Z608-t'9Z (90E) euoyd
9Z LEE epuold 'luae!W
leallS 418 'M'N BbbL
lb 3o 1:13a1J0
3Hl Ol AVd
'DNI SNowaad H'8d
• • • ••• • • • • •
Date ' 8/03 Job Address �ti � r tb/ ?dr • • Tax • Folio
Legal Description LA-20 E rt E;., V . c t 19 P11 eSK 14 .S ul2.• : • • Idistori' y Designated: Yes No
Q.v,CA,wv.&.Q.ak .s-m;c -' 31,ore Sec-4 . I age, IO)70: • • • • •
Owner/Lessee / Tenant Yi'l Oar '10 'c£.Z • • Master Permit #
Owner's Address 1 y' s AZ to) SF. • Tak r S:'r ej Phone (&).01(.0.D ( ,
Contracting Co. 1 (-1 • t 3 ArkPt 'C7 F i • "1' `:--: • • Address 1 't q o M LO
Qualifier (Q NV\Q, 1 l J \ \ a CA Gyre) SS# 3 6) - Y& - Phone CAS ! 7.oy -- Yo 9 a-
State # Municipal # Competency # C In ts 'Co l " °-l. -o )
J
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING
WORK DESCRIPTION \(
Square Ft. Estimated Cost (valu O j 0 00
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
• 1 ./
No -:∎ as to
My Commis
of owner and/or Con
•
•
1.:
ore,
all
ident
'i
—
- - .
Cc• i j 4 i •
EXPIRES MAY 09 2005
BONDED THROUGH v
ADVANTAGE NOTARY
3 0
to
OWNERS
construction
Signa
FEES: PERMIT
APPROVED:
Zoning
DAVIT: I
zoning./
RADON '9 , I \ C.C.F.
,,,,//0 3
Building
PERMIT APPLILX 'I 1:FIVI IAMI SHORES VILLAGE
ify th
Mechanical p� 6 Z • (6.03 Plumbing
ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
cx4-.1,-vroorle-,A\0.s-E-V-AD
e foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
uthorize the above -named contractor to do the work stated.
a of Contractor or Owner - Builder
,Adee-e-P4
3/z) 2- a:
Date
rs I
1,
•
s.
NOTARY
PUBLIC
STATE OF
FLORIDA
uil ?
� • 1SSION DD024189
EXPIRES MAY 09 2005
BONDED THROUGH
ADVANTAGE NOTARY
4
4
4
Notary as to Contract
My Commission Exp
- NOTARY
Electrical
BOND v O
TOTAL DUE
structural E ng i neer � , 3
5+ c�X 4e2 Po( 9-v`. V oa
�
a3 -02
ate
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE:
Dryer
Q'I'
: :
lYi'1.
4 le appliance •
QTY.
TYPE
Service Repair
QIN.
A/C Central 1 -3 Ton
1
Fan 6
• -
outlet, Wall
Service, Temporary
A/C Central 4 -7 Ton
1
Fire Pump
Outlet, Switch
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
/
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
1
Water Heater
Dishwasher
Low -volt, Television
1
Service, Number of Amps
Water Heater New
MECHANICAL
TYPE
Minimum Fee
QTY
TYPE
Condensate Drain
QTY
TYPE.:
Generator
QTY
TYPE
Refrigeration, Tons
QTY
A/C Central, Tons
1
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
1
Dryer Vents, Number of
Paint Booth
Ventilation, Cost
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Supply, AC Well
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Temporary Toilet
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
QTY.
"T'I'P.
Soakage Pit
Q'I'1'.
Bath Tub
1
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
1
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
/
Domestic Well
Laundry Tray
Septic Connection
1
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
1
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
1
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 2
IMPORTANT NOTICES
1. DO NOT BEGIN ANY WORK WITHOUT HIViN(i RECEIVE YOCJR VAI3DATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF COI Irt lilldtfd to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8 :00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINT IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BCE KEPT FR N EE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGEOCY.E4UMEN,,1 OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk. • • • • : : : • : : • •
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other govemmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
MATE OF FLORIDA, COUNTY OF MIAMI -DADE yTE OF FLOR Io , O F MIAMI -DADE
/Signature o Owner Signature of C ..ctor/ Qualifier
Print Name
Sworn to and subscribed before me this day of
Signature of Notary Public - State of Florida
SEAL:
•
• • • •
• • • ••• • • •
• • • • • • • •
• • • • • • • • • • • • • • • • •
SEAL:
Print Name
to and subscribed before me this
PERMIT APPLICATION
Signature ; Notary Publ - State o Flo
e ta PIN Angela M Becker
My Commission 00150048
1Vor*.r , Expires November 15, 2006
—
Personally known OR, Produced Identification Personally known OR, Produced Identification
Type of Identification Produced: Type of Identification Produced:Fh /)L. 1) -14.. /77 D
Page 3
•
• • • •
• • • •.• •
• • • • • • • • •
• • • • • • • • • • • • • •
•••
• •
• •
• • •••
• • • •
PERMIT APPLICATION
• •• •
INSTRUCTIONS: Please indicate the type of work bejpg perfcrme4 and 41 u$tltjty ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
CONTRACTOR
New Construction
\Name G I L pi -_..SL! Ut �� 7-,..Q
License Non O ro
Address LO- B - se—) 3i St
i .ayytc e FL 3.3 /75
Telephone -284_,7(3e; 3('r Fax 8 _
"v
Qualifier Name
Gy Arv v e��
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'l Attachment
Other
Add'1 Detachment
Other
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.)
Inspector State Educational Fund
State DCA (Radon)
Code Enforcement Fine
Zoning Review
Notary
•
• •
• •
.•. •
••• •
• ..
• • • •
• • .. • • •
• • • • • •
• • • .. • • •
•
..
•
•
.•.
• ❑ P ROO F OF OW NE R SHIP
(Attach)
•• ••• •• • • • ••
• • • • . • • • •
• 6 Hkt rpti vakO aVAL
• • •(9epeic 1 S er; •••
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
LI CONTRACTOR REGISTRATION
(On File)
PERMIT FEES
$_5 Q
SECTION
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
BY
DATE
3 -0
( x .60) x/1000
(¢.005 / sq.ft.)
(¢.01 /sq.ft.)
TOTAL $ C7 (]
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 - 2207 • FAX (305) 756 - 8972 • http : / /www.miamishoresvillage.com
Step 1.
Job Address:
l'LS v �- I o I S�
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
i�
Address Apt.
Block
PB PG
Current Use of Property
Proposed Use of Property
Tenant Information
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
PROPERTY OWNER
Name G) (t r 1 �r Q
Address
Home Telephone
Business Telephone
Fax
• • • •
• • • ••. •
• • • • • •
• ••..•••
...
• .
. •
City
•
• •
• •
• •••
Master Permit isio. P Qce1
S�l�bsit�iarq �e�mit i�To. � D_ — 7
• 3
• • • • • •
••• ••• • •
INSTRUCTIONS - 'l'he following steps must be taken to obtain a permit from the Miami Shores Village:
Complete the attached permit application which must bQsi t i i
p p pp gned by the property owner end qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of )?ipr 41ic:tipn. • ?opting worlr be done, a roofing application must be submit-
•
ted along with this permit application. • • • • • • • •
•• • • • • • ••• ••
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
Folio Number x Description of Work Ntr � re.oerz
Lot \
Subdivision
Zoning Linear Feet
Sgqu e Feet Units
Value of Work =9
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
State
Bldg Value
PERMIT APPLICATION
Zip
Floors
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed:3 /12/2003
Applicant: MARIO
Owner: PEREZ
JOB ADDRESS: 145
NE 101
Contractor G & L PLUMBING SERVICE
Local Phone: 305 - 551 -5090
IL�
J Parcel # 1132060131940
jl e-"`-`k 4 I't
/1)23c'n 5_ 0c0
Total Fees: $17.01L
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 9/8/2003
Work: NEW BATHROOM
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in ad
1 1. /,_'L
A ."
This Permit is granted to the contractor or builder
ordinances pertaining thereto and with the understa
and approved by the proper municipal authorities. -
authorization. A further condi on upon which this p
ordinances and regulations p rtaining to the work c
by his agents, servants or e ployees.
Signed:
In consideration o he ' suance to me of this per
with the plans, drawings, statements or specificatic
myself, my agent, servants or employes.
Signed
PAY
TO THE
ORDER OF
Plumbing Permit
Permit Number: PL2003 -73
PEREZ
MARIO
ST
Contractor's Address: 12335 SW 31 ST
G & L PLUMBING SERVICE, INC.
12335 S.W. 31ST ST.
MIAMI, FL 33175
PH. 305 - 388 -7685
BankofAmerica.
ACH R/r 003100277
Construction Value:
• tetra
FOR
II'00224 1 :0El 3000nL.71! nngt'.u '7cnoD 3t,.
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 20 & E1/2 LOT 19 BLK 14 LOT SIZE
Look for yellow background on the front of this check, and the itnageSafe0 logo on hack. If not present. do not cash. - . "••:.:
` //"--- 0 3 63-4/630 1223
DATE 77
�z ,ez/-lj .� //a n €c ii/AL e
4. d b
$
DOLLARS 8
2241
nr