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mfffd I <br />1 i 5 S. Andlre,,nI,s F,,r,. P', -100, R. Laudardak3, Fl- 33301-1895 - q-54,531-xonC) <br />VALID <br />R 0 U C', H SEPTEMBER 30,2012 <br />D B) Al.: <br />Receipt 9'. 3" <br />Business Type. WN N <br />L,A', <br />Owner Nat eL--`-E -DSCAP-73 sS �- <br />RD State/Couilty/Cert/Reg: <br />HOLLW-TOOD X E P T <br />Exemption Code:76' <br />Bl j s i n e ss s P i 10 r 9 S 4 31 -1111 <br />I ptoyees Pachimcs Professional's <br />For Vending Bjslnes-j--Opjy <br />Vending Type: <br />Numborof?.Iachines: <br />to <br />T r a ns," �r F e. e ee pa�rj <br />C-), <br />SC-1, - — --.— i <br />rj <br />3 <br />THIS RZE-CEIPT 131t: P-0!3TED t i NSPUJOUSLY IN YQq R, PLACE OF F' ,QS <br />or i <br />CA doil�lq busines:3 <br />T OLI W�us! nl-et all Coui-i'v ard'of Muni- <br />P. <br />Vi` V, L. A T 'E" r) <br />Ties Tax Re.-ce#, n.; <br />i d bLIS'nass mame has changed of y,-lU h3l,,� <br />:, <br />Tris recalpt dDes not jrjji,.-at t <br />_j <br />—h State or 13y.,3 anKI regi <br />I' tic s <br />Addro!�s� <br />L E S SCAP I t,-, <br />22CO N 30 RD <br />I YWO,DD , CL <br />Paid 07/12/20-- Ci r. <br />0.1 <br />