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could result in Use of this system constitutes year agreement to tne service conditions in tho current FedEx Sorrier; Guide. available on ledex.com.FedEx will not be responsible for any claim in excess of $100 per packago. whether the result of loss. damage. delay. nonaelivery.miSdelivery.or misinform

itional Vargo. document your actual loss and file a timely clam limitations found in the current FedEx Service Gude apply. Your rght to recover from FodEx for any loss. including intrinsic value of the package, loss of sales, income interest, profit, attorneys fees costs, and other forms of damage whet

tax. Signature of affianVpurchaser Sworn to (or affirmed) and subscribed before me this day of Signature of Notary Print, type, or stamp name of Notary 3 Personalty known L) Produced Identification Type of Identification: Distribution of Do • ments The original affidavit and a copy of the sales

ida Bar, 651 E. Jefferson Street, Tallahassee, FL 32399 along with a check rode payable to The Florida Bar in the amount of $250.00 for the fee, via Federal Express, this 7 day of March, 2018. Respectfully Submitted, JAY HOWELL & ASSOCIATES owell Florida Bar No.: 225657 644 Cesery Blvd., Suite 250 Jacksonvi

or who has produced 5 411va cad."-Es‘ 4,4%," as identification and who did/did not take an oath. 1- (cc_ (Notary signature) CSU-Saikilbn r (Notary name printed) NOTARY PUBLIC tact 5 big:14, (Notary serial number) Page 3 of 10 EFTA00805434 CERTIFICATE RE: E-FILING AND E-SERVICE I hereby c

Using a photocopy of this label for shipping purposes is fraudulent and could result in additional bang charges. along with the cancellation of your FedEx account number Use of this system constitutes your agreement to the service conditions in the current FedEx Service Guide, available on fedex.com.Fe

mandatory penalty equal to the tax. Sworn to (or affirmed) and subscribed before me this day of Signature of Notary Print, type, or stamp name of Notary D Personally known U Produced identification Type of Identification: Signs ure of affiantipurchaser Distribution of Do ments The original aff