EL-15-320Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-228188 Permit Number: EL -2-15-320
Scheduled Inspection Date: March 13, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: BROWN, ONEARIES Work Classification: Repair
Job Address: 8955 NE 4 Avenue Road
Miami Shores, FIL
Phone Number
Parcel Number 1132060460430
Project: <NONE>
Contractor: ONE HOUR ELECTRIC, LLC Phone: (954)205-1361
puna
comments
REPLACE 100 AMP ELECTRICAL PANEL
INSPECTOR COMMENTS False
Inspector Comments___
Passed ET
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
March 12, 2015 For Inspections please call: (305)762-4949 Page 18 of 38
I
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING Fn� ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS: 8955 NE 4th Ave Rd
FE13 M28%
FBC 2010
Master Permit No. S "3l.S.J
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City Miami Shores County Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: condo Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): OneariS Brown Phone#: 305-632-0898
Address: 8955 NE 4th ave Rd
City: Miami Shore State: FI Zip:
Tenant/Lessee Name:
Email
CONTRACTOR: Company Name: One Hour Electric. LLC
1735 J ff St
Phone#: 95-205-1361
Address: a erson
City: Hollywood state: FI Zip: 33020
Qualifier Name: Donald MareSe Phone#:
State Certification or Registration #: EC'I 3005074 Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address: City: State:
Value of Work for this Permit: $ 2200 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New
Description of work: replace 100 amp electrical panel
Q Repair/Replace
Zip:
❑ Demolition
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ g�jp' 4:00 CCF $ CO/CC $
Scanning Fee $
Technology Fee $.
Structural Reviews $
(Revised02/24/2014)
Radon Fee $
Training/Education Fee $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
E
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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 low 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 inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
? t t C t �L_� ��_ _ Signature
Signature �'' — A
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
day of'`Yt� .20 j.' .by
It,'rTU +'Il jS 1�C t� t'7 , who is personally known to
me or who has produced Ji- i iv as
-
NOTARY PUBLIC:
Sign:
Print:
Seal: My COMMISSION # EE 21 0
* EXPIRES: November20,2016
x'77"W, Bonded7Mu Budgetgolani Sa 3
The foregoing instrument was acknowledged before me this
jt,, f tle day of r e batt a t !j . 20 %7 by
who is persona8y known
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: ' �:'lit% PRWALNOM
Seal: * * EXPIRES: November 20, 2016
9rfOF F��P
APPROVED BY % Plans Examiner Zoning
Structurai Review Clerk
(Revised02(24f2014)
Feb 08 15 01:43a Don Maresed 954-924-0030
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD
a 1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
MARESE, DONALD SR
ONE HOUR ELECTRIC, LLC
1735 JEFFERSON ST
HOLLYWOOD FL 33020
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.rnyfloridalicense.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
RICK SCOTT, GOVERNOR
(850) 487-1395
"_ {, STATE OF FLORIDA
f+ DEPARTMENT OF BUSINESS AND
_WZ . PROFESSIONAL. REGULATION
EC13005074 - ISSUED: 08/24/2014
CERTIFIED ELECTRICAL CONTRACTOR
MARESE, DONALD.SR . .
ONE HOUR ELECTRIC, LLC..
IS CERTIFIED under the provisions of Ch.489 FS.
Expi2Eon date .. AUG 31. 2016 L14D6240001564
KEN LAWSON, SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD
EC13ooso74 ADDITIONAL BUSINESS QUALIFICATION
rhe ELECTRICAL CONTRACTOR
Named below IS CERTIFIED
U rider the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2096
MARESE, DONALD SR
ONE HOUR ELECTRIC. LLC
134 NW 16TH STREET
BOCA RATON FL 33432
nicor av ac RFCN IIPF-D RY LAW
SEQ # L1406240001594
Feb 14 1512:09a Don Maresed 954-924-0030 p.1
CITY OF HOLLYWOOD
TREASURY SERVICES DIVISION
LOCAL BUSINESS TAX RECEIPTING
2600 HOLLYWOOD BLVD, ROOM 103
HOLLYWOOD, FL 33020
DONALD MARESE ELECTRIC INC
1735 JEFFERSON ST
HOLLYWOOD FL 33020
,7'-- tv
CITY OF HOLLYWOOD LOCAL BUSINESS TAX RECEIPT
1383 93897
PRINT DATE: 9/15/14
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. TH1S S NOT„A_8j'L •,
OUSMe S NZMei
8-t ” l.o��tiQW
Business Class:
Tax Basis:
Receipt Number:
Receipt Year:
Expiration Date:
DONALD MARESE ELECTRIC INC
1735 JEFFERSON ST
CONTRACTOR/ELECTRICAL
1 WORKER (OWNER)
15 00052804
10/01/14
09/30/15
.N.EMLCHARG..E. S_: (Itemized Below) zzo . 00
Base Fee
Additional Charges: 190.00
$a
TOTAL EW C_ ES-
Penalty Amount. 190.00
Previous Balance Daae: .00
T-O-TAL .AMOI IKIT PA1D; .00
190.00
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
N1EAAi 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 CONDOLE THE NATURE OF THE BUSINESS BEING CONDUCTED IF
CONTRARY TO ANY LOCAL, STATE OR FEDERAL LAWS OR REGULATIONS.
Feb 08 15 01:42a Don Maresed 954-924-0030 p.3
'`"- C" CERTIFICATE OF LIABILITY INSURANCE DATE(M%OWYY"
215!20)5
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO
RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,
EMEND OR ALTER THE COVERAGE AFFORDED 13Y THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE
A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poticy(fes) must be endorsed. If SUBROGATION IS WAIVED, to
subject
the terms and conditions of the policy, certain policies may require an endorsement, A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER Phare: (561)995-9577
0 "cT Renee Small
NAME:
Fax: (561)995-%77
V ul Amrringcti trrcUrdltel' and Financial SOrriCCs
PHONE
C . (560995-9577 AX (563 )995-9677
No:
902 Clint Mourc Rd
E QR ni
reroe@vartaeringens.com
Suha 137
INSURER S) AFF°RDING C'WERAGE MAIC#
Btx a Raton. Florida 334$7
MSURERA. Aseca&dnttndcrwrhers, He 13683
PERSONAL&AOVOVJURY IS 500,00U
INSURED
ONE HOUR ELECTRIC LLC
INSURER B:
WSURERC:
134 NW 16TH ST.
INSURER D:
UNIT# 3
INSURER£:
BOCA RATON, FL 33432 0
COVERAGES d -&a <rnw4r u�...w�.. �.
WSURERF:
THIS Is To cERT1FY THAT 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 IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHO
s WN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
OR
A
TYPEOFWSURANCEINSD
COMMERCIAL GENERAL LIABILITY
CWIA13-MADE OCCUR
IM
POLICY NUMBER
GL-45244-�
M CY EFF
8/]3/2015
M50 YEXP
8/!3/2015
LIMITS
EACH OCCURRENCE s 500.400
PRamS Ea nee S 100.000
MEI) EXP (Anyone parson) 5 5,000
PERSONAL&AOVOVJURY IS 500,00U
GENL AGGREGATE LIMIT APPLIES PER:
POLICY [:]JECT LOC
OTHER
GENERALAGGREGATE ; 1.000,000
PROOUCT�-COMPIOP AGG E 500.000
5
AUTOMOBILE LfABJLITY
ANY A13F0
ALL OWNED
AUTOS SCHEDVLED
AUTOS
HIREDAUTOS NON -OWNED
AUTOS
E M&N NGLE UM
a re S
BODILY IWURY(Per person) S
BODILY INJURY (Par ecddent) S
PROP OAMA E S
Per asci nt
SMBRELLA
ULIAR
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCJRRENCE $
AGGREGATE S
OED i RETENTIONS
WORKERS COMPENSATION
S
AND EMPLOYERS' L)ANUTY
Y / N
ANY PROPRIETORIPAR-MMEXECLMvE
OFFICEPJMEMBr7iEXCLUDE09 �N/q
(Mandatory In NH)
-
PER
STA ERS
E,L.EZIDENT $
E.L. SEEA EMPLOYE S
If yes. dewrbe midst
SCRIPTION OF OPERATIONS belowE,L.
DIPOLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schodide, rosy be almohed H mora apace is regmRar)
CERTIFICATE HOLDER
Holden s Nalurc Of inicrCst : CN65catc Holder
MIAMI SHORES VILLAGE BLDG DEPT
10050 PIE 2ND AVE
MIAMI SHORES., FL 33138
Acnien ?n i7n-i Azat,
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EMRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS_
AUTHORED
— --r— name ana Togo are registered marks of ACORD
reselY9d.
Retort Viewer
t. ?
JEFF ATWATER
CHIEF FINANCIAL OFFICER
https://apps8.fldfs.com/effeportviewer...
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * "
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 11/25/2014 EXPIRATION DATE: 11124/2016
PERSON: MARESE DONALD
FEIN: 510518737
BUSINESS NAME AND ADDRESS: Print to PDF
DONALD MARESE ELECTRIC INC Page Range:
1735 JEFFERSON ST
HOLLYWOOD FL
SCOPES OF BUSINESS OR TRADE'
LICENSED ELECTRICAL
CONTRACTOR
Pursuant to Chapbr 440,05(14), F.S., an office
may not recover Cenefils or eompansa0on und
Wbin the scope of the buainew or trade listed
exengn ark �rtt l- of elecaoo m be amn
0fe Person narred on the notice or certiacate n
*s, Afl Pages
xi8 t Pape,
33020
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whoelaCiS atrmliDntGoal Mi®ahaffi®�u.i,6no'a raAiG *of alarbm nneWrl
issuance of a
DFS -F2 DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13
1
Report Viewer https://apps8.fldfs.com/erreportviewer...
a
QUESTIONS? (804131609
v
I 1/25/2414
Feb 08 15 01:44a
Report Viewer
Don Maresed
100%
954-924-0030
https.//apps8.fldfs.com/crreportviewer...
PLEASE CUTOUT CARD BELOW AND RETAIN FOR FUTURE REFERENCE
STATE OF FLORIDA
I DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
CONSTRUCTION INDUSTRY EXEMPTION
f GERTIFiCATEOFELPOTION TOBEEXEMPFFROMFLORJOA
I WORKERS'CO A, SATT JAW
CfFECTIVE DATE 1:25.' W EXPIRATION GATE:
PERSON: MARESE DONAW
FEIN. Stli13:37
BUSFNESS NAME ANDADDRESS:
DONALD MARESE ELECTRIC INC
1 MS J EFFERSON ST
HOLLYWOOD FL 3302D
SCOPES OF BUSINESS OR TRA
ELECTRICAL
I V24201e
DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13
Itio5t8g33
i
'o
ED
'H
E
R
E
Pursuant to Chapter 440.05(74], F.S., an olficerof a corporation
who elects exempSon le°m RNs chapter by fling a cernficata of
election under this sedion may rot recover be—fns or
compensation under Ihis chapter.
Pursuant io Chapter 440.05(12), F.S., Cartificates of election to
be eaempl._, apply only Within the scope ofthe business or;rade
listed on the notim of election to be exempt
Puesuent to Chapter 440.05(73), F.S., Nalims of election to be
exempt and certificates of election to be aKempt SIM be
subject to revocation if, at any time Brief the filing Of the notice
or the issuance Of the cefhTi®le. the person named on the
notice or certificate no Jorge, meets the requlrements of pus
section for issuan® of a cerfificate. The deparment snsll revoke
a Cortlficale at any time for failure of the person named on the
ccriifeoatc 10 meet lhe,ecfj* WntS Of this SO-" UM,
Zeport Viewer I
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QUESTIONS? (93D)413-1609
p.12
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11/25/2014
Notice to Owner - Workers' Com
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
on Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees, including the owner, must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt i£
1. The officer owns at least 10 percent of the stock of the corporation, or in the case of
an LLC, a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State, Division of Corporations; and
3. The corporation is registered and listed as active with the Florida Department of
State, Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use
day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will
be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of
workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors..
Therefore, you may be personally liable for the worker compensation injuries of any person allowed to work under this
permit. Please check with your insurance carrier since most property insurance policies DO NOT cover this type of liability.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Owner
Signature
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this
day of f7ekr4t :(-A , 20 ,x.
By— /2�5 Fr, c.> bl
who is personally known to me or has produced
as ide tion.ot+�AY•Pu�i,� PRISCWORTIZ
? ,. •..
MY COMMISSION t EE 21888
Not * 4 EXPIRES: November
s 2016
SEAL: a4oFa+.ae
Contractor
Signature:
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this _,Jr
day of brg r , 20J_5_.
By iwj 1l v
who is personally known to me or has produced
as identificatiq
o�pFY P„B� PPJ A OF111Z
Notary: 2 ' N f EE 218884
SEAL: , e EXPIRES.NMMI)er20,2016
W
ONE HOUR ELECTRIC, LLC
1735 JEFFERSON STREET
HOLLYWOOD, FL 33021
DONALD MARESE, QUALIFIER
EC13005074
February 12, 2015
Miami Shores Village
1005o NE 2nd Ave
Miami Shores, FL 33138
Re: 8955 NE 41 Avenue
To whom it may concern:
We have installed a new electrical panel to replace the defective burnt panel, cause by
loosed aluminum wiring.
Mr. Lawrence Bennett of One Hour Electric, LLC was the electrician who installed the
new electrical panel at Mrs. Brown residence.
I, Donald Marese, Qualifier for One Hour Electric, LLC, was present and physically
inspected the new panel installation. I opened the panel, installed a new 2-1/2 fiber
bushing. I was in the main meter room and I did the load calculations and prepared the
print drawings and met Mrs. Brown on Site.
Print
Sfgnature
Before me, personally appeared, Donald Marese on this 12th day, of February 2015, who,
being duly sworn. r
PRWALLA ORTIZ
* * MY COMMISSION 4 EE 218884
EXP
IRES: November 20,204
Nle Of �QP Wed Thru Budget Services
�o rRv au rc nr:l,f"! t a. n9M
It Y rJ r
718884
* XPIt `-' rd '. 2016
Notary Signature
Personally knowny
Produced Identification
Type of Identification Produced
ON eA)e s eft 0 w Al
- 47-4 �v
FEB 13 201
D��
py
Q u�l, e
/ or
134
elly
"COPY
�} W C (GJ®o 1
/NI cTe �
ELECTRICAL REVI
JEW
APPROVED � /AT/E-
�--L. I�-5- 320
�2-d-04DV,l�
lel - 3` of D ^'►
AL��
& �s�
0 T d Xl/
N
Zvo Afaa
/44yo
Ne)
Ago
400w,'
F008 15 01:43a Don Maresed
:Unit
House
Kitchen Circuit2@1500
Laundry
House Load
3000 va @100%
Net load
Range=8kw
Dryer= 5.Skw
AIC unit3kw
hot water heater
otal
40 volt service 200 Amps
otal Amps
13955 NE 4th Ave Rd
Miami Shores Village
Sq_Ft1* total Sq Ft Watts
1200 1200 3
2 1500 3000
1 1500 1500
Current Service=125amp with125 amp CB 3 #310 Alum
Donald Marese Electric, Inc
1735 Jefferson St
Hollywood, FI 33019
EC 13005074
954-205-1361- Cell
ELECTRICAL REVIEW
APPROVE
�--- DATE
954-924-0030
p.6
Total
3600
3000
1500
8100
3000
1785
4-785
8000
5500
3000
2500••••
. .
0000
00.0.0
• • 0238-270
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•
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240 00
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. 6