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EL-10-1103Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 o—'Yse)-; Inspection Number: INSP- 155887 Permit Number: EL -6 -10 -1103 Scheduled Inspection Date: May 08, 2012 Inspector: Devaney, Michael Owner: LEARY, KIMBERLY Job Address: 72 NE 104 Street Miami Shores, FL 33138- Project <NONE> Contractor: PENCE HEATON ELECTRICAL CONTRACTING INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number 305- 759 -1808 Parcel Number 1121360130870 Phone: (954)961 -8005 Building Department Comments RE LOCATE SOME OUTLETS AND SWITCHES ON KITCHEN Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 155698. Kitchen is O. K.. All cloth and rubber insulated conductors have to be removed. May 07, 2012 For Inspections please call: (305)762 -4949 Page 1 of 24 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): A k" Address: 72_ t / 0 % S7 City: (A 1 F.&- 1 S 1,4 we 5 State: re-- Zip: 3 lick Tenant/Lessee Name: Phone #: Email: flre- Permit No. E.0 1 O )/03 Master Permit No. /0 - K Phone #: JOB ADDRESS: 7 L P 10"/ S.1- City: Miami Shores County: Miami Dade Zip: 37/ 3 Folio/Parcel #: Is the Building Historically Designated: Yes NO X Flood Zone: CONTRACTOR: Company Name: J /lee eatee 44a a s Phone#: d �f Addr ss . City: !®li - State: P zip 3 ® i Qualifier N. 'e: Pq,1�f • c. 11 Phone#• State Certification or Registration #:, !® g-.lgd}Q /76/ Certificate of Competency #: 1/ E D€ Aj 7 Contact Phorie #: 7,514- eges Email Address: Terlogielfridne.4441,. 401 4 • cool DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: °Address DAlteration Description of Work: New " ORepair/Replace °Demolition ., , s �** ** '44, 0* ,: +x***********+x ** :+x+x* Fees+ x*x: ****** *** ***** *** * ****a: * **** **** ******** -wsnPwRrAwnrwiw—w— -r Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address :. City , State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOTT.RRS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is ubject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first insp,, tion w ich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection 1t 1l n I be ap ;'roved and a reinspection fee will be charged Signature The foreg ;l;r ent,was.a day o 20 , who i NO 4, Signatu • The foregoing ins day of Contractor meat was acknowledged before me this 4� 20 As l by e r who has produced known to me or-who has produced s identification and who did take an oath. 9 • Sign: Print: My Commission Exp ..._�_a y �. own to me as identification and who did take an oath. NOTARY PUBLIC: Sign: co Print: My Commission E ******* ***********,., *..**** x: ********* ** *+ x****** ** **** **** **>n*******>lc*** APPROVED BY Plans Examiner ELIZABETH A. FOX Notary P • State Rorbla • My Corns. Estes Ayr 20, 2016 Commission • EE 158817 ***001.11trattlyilebit Mt Assn. Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305). 762.4949 BUILDING PERMIT APPLICATION FBC20 Permit No. JUN 16 MI5 BY:. '' .. FI 10-1103 Master Permit No. f C. - '° % 0 3g3 Permit Type: ELECTRICAL Owner's Name (Fee Simple SimpleTitleholder) atom 4 1.-6 1 Phone # 39S` 76/. j 2 S 72. N r 0 f ' Owner' Address City I s 0 State 11— Zip 33i-3e Phone # Tenant/Lessee Name Email Job Address (where the work is being done) -7— t ra /0(/ 5-04. City Miami Shores Village County Zip 3' 3/3 d FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name L am, ' - 3 4,4444 %j bkephone # #9,..c-Y-' f J -CPO 0J Contractor's Address S%/ S 9 --Cr City Sta f Zip 33 d d Qualifier Name e44%.5 G. &,4I04 Phone # State Certificate or Registration No. 6 C1 3 0 01 a / p Certificate of Competency No. E -mail Contact Phone Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 7 6Q & O0 Square / Linear Footage Of Work: Type of Work: ❑Addition [alteration ❑New ❑ Re p air/Re p lace ❑Demolition Describe Work: ,e,_ f' 7,4 ,5-6,..., Cit�/� z, vi �/ <- / Ghs h * * * * * * * * * * *, * *** * ** * * * * * * * * * * * * * * * * * * ** Fees** * * * * ** * ** * * * * * * * * * * * * * * * * * * * ** ** * * * * * ** n Submittal Fee $ Permit Fee $ Zk.f and 311.-",' CCF'$ O -(o,E� CO /CC $ Notary $ Trainin ducation Fee $ 0.20 Scanning $�'�� Radon $ DPBR $ 0-40 Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ SS 40 See Reverse side -4 Technology Fee $ Bond $ Bondi Bond' City Mortg Mortg City rr g Company's Name (if applicable) g Company's Address State Zip age Lender's Name (if applicable) ge Lender's Address State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating cons ction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WEL S, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONER`S, ETC OWN R'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work willbe done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN , . YOUR PAYING TWICE FOR IMP OVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIN CING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RE ORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first ins ectio which occurs seven (7) days after the building permit is issued. In the absence of such posted inspection will . t be %'pproved and a re- inspection fee will be charged.. r a Signature er or Agent ` The f•_ egoing instrumen was acknowledged before me this / day of y , 20/0 , by 411,..,pri who is perso i': known to me or who has produced As identification and -who did take an oath. NOTARY PUBLIC: Sign: .. Print: "� C My Commission Expire * * * * *1* * * * * * * * * * * ** APPRdWED BY ,,• Tilt CHARLENE D. SMELLIE =4: • '; oommungon OD 788599 I 1 Expires 1g 2 Imam 600.386-7010 Contractor The foregoing instrument was acknowledged before me this ri• day of , 20 / 1.9, by With C. g' ea1 @sI who is ge ovally kno to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Ex *************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Z.',- )Z144,- Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487 -1395 1940 NORTH STRFLx32399 -0783 EMOND, DENNIS GEORGE PENCE & HEITON ELECTRICAL CONYRACTING INC 1550 SW MERCEDES AVENUE PORT SAINT LUCIE FL 34953 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and°they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridaltcense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly, We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE • TTATE.oF FLORIDA' AC* 5142666 DEP1A•RTMEN :oi» •'BUSIm$'S$' AND PROFESSI©NAI, AgcluxivnoN 08 30 10 0701175! C RIC CONTRACTOR 01300014 CERTIF1ifiD EMOOD,' YS PAtCB & IS CESTiFtsD vndat thsi paevissOns of ea:489 as R O t O t i , d n y a a i e : , A VO ' S g 9012 2 9 04008414. ' AC* 'j '2 6 6 6 S'TAG'E bF FLORIDA DEPARTMENT OF Stisi EP, , TR74AL° C OM F. E5A[Cri NilMt3ER 08' 3t :2010 ; LI 07'0'1'1754 .g � PROF SSIONAL• R GUI,ATION y 'i Ac 0RS 'LICENS.ING 'BOARD S L10003,002930 SE' °NBR Q it .•, • ECT3Q0 .218 I• ; o � aX Business .• Me; 'FrF�LC1'RICAit = ON7i1,'RA ON • • Named' the z•S •C�E$TXP ED• a . U>rder•'' 'thl •prcvidions bf'•; hApktet . 48$•, Exxitkation date i �AUG 3. 1, 0'.� EMOND4e .DENNIS .GEORGE PENCE, ' &' .HEATON • ELECTRICAL ,CONYRAG S. TA..FW: ,S' REET •H.OLtYWOaD: 'FL .3021. " • • CIE` C,RIO, :1ER,Nl? •,• E0 3DVd IV H3DN3d alifiaation .. CHARLIE' L IEM, SECRETARY 8E00686t'96 80 :ZT 0T0Z /EL /0 CITY O>;' HOLLYWOOD TREASY LOCAL BUSINESSCTTAX RECEIPTING '4,...,1,0 2600 HOLLYWOOD BLVD, ROOM 103 HOLLYWOOD,, FL 33020 PENCE & HEATON ELECTRICAL CONT 5715 TAFT ST HOLLYWOOD FL 33021 'S" CITY OF HOLLYWOOD LOCAL BUSINESS TAX RECEIPT 674 1537 PRINT DATE: 10/01/10 THIS IS YOUR LOCAL BUSINESS TAX RECEIPT. PLEASE DETACH AND POST IN A CONSPICUOUS PLACE AT THE BUSINESS LOCATION. PLEASE DO NOT REMIT ANY PAYMENT. THIS JS_NOT A BILL. Business Name: Business Class: Tax Basis: Receipt Number: Receipt Year `Expiration Date: PENCE & HEATON ELECTRICAL CONT 6230 JOHNSON ST CONTRACTOR/ELECTRICAL 5 - 25 WORKERS 11 00003075 10/01/10 09/30/11 NEW CHARGES: (Itemized Below) Base Fee Additional Charges: 316.00 316.00 TOTAL NEW CHARGES; Penalty Amount: Previous Balance Due: TOTAL AMOUNT PAID: 316.00 .00 .00 316.00 Comments: PURSUANT TO STATE LAW, THE LOCAL BUSINESS TAX IS LEVIED ON THE PRIVILEGE OF DOING BUSINESS WITHIN A CITY'S LIMITS, AND IS NON - REGULATORY IN NATURE. ISSUANCE OF A LOCAL BUSINESS TAX RECEIPT BY THE CITY OF HOLLYWOOD DOES NOT MEAN THAT THE CITY HAS DETERMINED THAT THE EXISTING OR PROPOSED USE OF A LOCATION IS LAWFUL. ISSUANCE OF A LOCAL BUSINESS TAX RECEIPT DOES NOT LEGALIZE OR CONDONE THE NATURE OF THE BUSINESS BEING CONDUCTED IF CONTRARY TO ANY LOCAL, STATE OR FEDERAL LAWS OR REGULATIONS. VO 39dd 1V3H3ON3d 8E006861756 IO :ZT OIOZ /ET /0T 115 S. Andrews Ave., Rm. A -100, Ft, Lauderdale, FL 33301 - 1895 954 -831 -4000 VALID OCTOBER 1, 2010 THROUGH SEPTEMBER 30, 201,1 DBA: Business Name: PENCE F HEATON ELECTRIC CONTR Owner Name: PAUL S JR HEATON Business Location: 5715 TAFT ST HOLLYWOOD Business Phone: 983 -3059 Rooms Seats Employees 20 Receipt #:181 -19358 Business Type: MASTERCE ECTTP IAN} NTRAc Business Opened:07 /16/1993 State /County /Cert/Reg:7 8- CME - 408 X Exemption Code: NONEXEMPT Machines Professionals Number of Machines: For Vending Business Only -- Tax Amount Transfer Fee NSF Fee Penalty .....y .fir.... Prior Years Collection Cost Total Paid 54.00 0.00 0.00 0.00 0.00 0.00 54.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VALIDATED Mailing Address: PAUL S JR HEATON 5715 TAF'T STREET HOLLYWOOD, FL 33021 This tax is levied for the privilege of doing business within Broward County and is non - regulatory in nature. You must meet all County and /or Municipality planning and zoning requirements, This Business Tax Receipt must be transferred when the business is sold. business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that It is in compliance with State or local laws and regulations. 201.0 - 2011 Receipt #05A -09- 00033588 Paid 09/29/2010 54.00 1V3H3DN3d -Pi 8E006861756 8C :L0 0t0Z /5T /0t Client*: 121158 PENCEHEA ACORDTM CERTIFICATE OF LIABILITY INSURANCE PRODUCER USI Insurance Services, LLC /CL P.O. Box 141916 Coral Gables, FL 33114-1916 303 6694000 INSURED DATE (MM/DD/YYYY) 07/08/2010 THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. MI5 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pence & Heaton Electrical Contracting Inc 5715 Taft Street Hollywood, FL 33021 COVERAGES INSURERS AFFORDING COVERAGE INSURER*: Travelers Casualty & Surety Co. INSURER SI National Union Fire lner Pittsbu NAIL 31194 19445 INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Ism AD LTR /NERD A TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY 1 GLANS MADE © OCCUR POLICY NUMBER 16605259C007TCT10 POLICY EFF ► DA>T ( rh UM113 07/08/10 07/08/11 EACH OCCURRENCE 51.000.000 E?M E IPA emx+Demw1 8100.000 MED EXP (My OAS p, ii) 50,000 PERSONAL &ACV INJURY GENT. AGGREGATE LIMIT APPLIES P1 R; 1 POLICY r1 .711 LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS r -- SCHEDULED AUTOS X HIRED ALITOS X NON -OWNED AUTOS GARAGE LIABILITY ANY AUTO ..0.000,000 PRODUCTS • COMP/OP AGG $2,000,080 18808259C007TCT10 07/08/10 07/08/11 COMBINED SINGLE UNIT (Ea actldant) $1,000,000 AUTO ONLY. EA ACCIDENT EA ACC 5 EXCESS/UMBRELLA LIABUUTY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ B WORKERS COMPENSATION AND EMPLOYERIV UAEIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXGLUDEDT N describe under SPECIAi. FROM smayow OTHER AGO $ wcoo5590129 YES 04/01/10 04/01/17 X TOORRY LIMITS 1 1 ER $ DESCRJPriON OF OPERATIONS / LOCATIONS I vE?IUCL SS / EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS CERTIFICATE HOLDER Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, FL 33138 ACORD 25 (2001108) 1 of 2 Z0 39Vd #845701171M4570006 1V3H3DN3d E,L EACH =WENT x1,000 000 EL DISEASE- EA EMPLOYEE 51,000,000 E.L, DISEASE- POLICY LIMn 51,000,000 CANCELLATION 10 Dave for Non - Payment SHOULD ANY OP THE ABOVE DEOCRUORD POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR To MAIL in DAYS WRn-rEN NOTICE TO THE CERTIFICATE NOL.DER YEA TO THE LEPT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON ?NE SOURER, ITE AGENTS OR RSpRESENrATWES. AUTHORIZED ENT ' ■ DXGEY 0 ACORD CORPORATION 1988 8E006861796 80:ZT 0T2Z /ET /0t ACO CERTIFICATE OF LIABILITY INSURANCE a"r oD"r"' PR IDINIeI THIS cair n icAta M ago At A wrmiQR or IIWOIWAt10iN Utl Wasinanoe LLCICL ONLY AND C01'IPERB NO mows UPON, CwRTIFICAYN PA. 6103 1411// � TM COVE AO A C D NY TIN PPQUC NUM. Corsi fi1Nblee, PL 33114.1119 308 9994099 MAIO Pewit IOaalen ®seltlo Contracting 8T18 Taft West FEellywood, FL 33621 MUM APPORDMO CONNRA08 R A Travrinro u • of A 311 owe, a Travelers Ind•nnity Co. of Americo L 28616 Name a National Union Firs he Pittsburgh, 11049 manna a i MUM It NAOC TIe POUCaM OF MaU ANCe OWED BELOW HAVE BEEN EBUEO TO me MORRO NAMED AJ96YE FOR TIE POLICY PERIOD MOICATOD. NOTWITHSTANDING ANY REGJHE,ME T. TERM OR CONISMCM OF ANY CONTRACT CR OTHER DOCUMENT WITH RESPECT TO WINCH TIM CERTIFICATE MAN 9E ISSUED OR MAY PERTAIN, THE !Hamm= AFFORDED BY THE POUrIEB DESCRIBED HEREIN E SUBJECT TO ALL THE TERMS. EXC:USa7Ns AND CONDITIONS OF SUCH POLR,lES. ACE R ERATE MITE RHO" NAY HAVE BEEN REDUCED BY PAID GWMS. Ng INN et MIME= MAT NUMMI 7!"' Laurp A Allow. MUM 16110826•CO•TTCT01 X cCMINIOAL L'Mldr k xCaw1 C ant AO! TM LOOT PPM! PIA POt !t I iLac. 1.871ILEAUTO MO RT 1 /UMW AUTOS SOIEDULEOALTO! HENIOAUYON RDA ITO! �A�IAaa LMa1LRY 1 ANY AUTO 00OUR cLAJPAlMAN DEDUCTIKE X , *me 3 6600 wONIERBORIPINIMMEN MO 07f0010/ CUPT1243TD10140 01106111 EACH 000URPTEIOE MTHD MEOW 04 ass PIMP) PE MLA MN MAY SENVALAa MTE PROWS.00MOOPPOO 41M0, 1100.000 $5,060 $1.010.000 I2.0/0. 32.0/0.600 PKAB Ln4r 3 PROPERTY DAMAOPt Par wain UTO,MY.EPA ber titifetaTar EA ADC 01100110 EACH 000i iCR onion OApEPTTON DP OPommOPY P LODATIDE! woman mamma ADOED 8Y ENDOR/ETIENT 1 MGM II LATE O $ A!dlCtA1E X s I * NA, BACH= AGSM a.L D&AEE EAEVE!J S a1.MAX EL.3OFARE'MAT uwr !1 ,�- ►ILA , -�L' :�" fird Mlorss Wage BYlNbp Deperemint 1 NN 2nd Ave Mend Sklorw, FL 33119 r .... �; 4,(„I : r, LO MVO! THE *MOVE OBIORPEND NOM OE 00440888.28 SP MR EXPMATTIiN DATE TWEREEO, I ltil IRO Masa a0 . EINTEAVOR 4b OW _ 39 . DAY! pawn rOONI cellecal NOLDTRMAIi1EYO TIM apt aar PALM TO co so situ r, WORE UoOlE MATE* oR6 WL! 4Of MN UM was INSIMUNEA, RsAEOPIE.'n9 XEXTEEkTAXER- *CORD 20 (2001108} 1 cf 2 X7174 o AC0R0 CORPORATION 191111