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DRESS, AND TELEPHONE NUMBER) Herman & Mermelstein, PA, 18205 Biscayne Blvd., Suite 2218, Miami, FL 33180, (305) 931.2200 ATTORNEYS (IF KNOWN) (d) CIRCLE COUNTY WHERE ACTION AROSE: PALM BEACH II. BASIS OF JURISDICTION (PLACE AN X ONE BOX ONLY) a 1. U.S. Government X 3 Federal Question Plaintiff (U.S Gov

supplement the filing, and service of pleading or other papers as required by law, except as provided by local rules of court This form, approved by the Judicial Conference of the United States in September 1974, is required for the use of the Clerk of the Court for the purpose of initiating the civil docket sheet (SEE INSTRUCTIONS ON THE R

ORNEYS (FIRM NAME. ADDRESS, AND TELEPHONE NUMBER) Herman & Mermeistein, PA., 18205 Biscayne Blvd., Sults 2218, Miami, FL 33160, (305) 931.2200 (d) CIRCLE COUNTY WHERE ACTION AROSE: PALM BEACH ATTORNEYS (IF KNOWN) q !ely V foul-K/9in- ) 0 4-)/71__ It. BASIS OF JURISDICTION (PLACE AN X ONE BOX ONLY) O 1. U

upplement the filing, and service of pleading or other papers as required by law, except as provided by local rules of court. This Porn, approved by the Judicial Conference of the United States in September 1974, is required for the use of the Clerk of the Court for the purpose of Initiating the civil docket sheet. (SEE INSTRUCTIONS ON THE

TORNEYS (FIRM NAME. ADDRESS, AND TELEPHONE NUMBER) Herman & Mermelstein, PA.,18205 Biscayne Blvd., Suite 2218, Miami, FL 33160, (305) 931.2200 (d) CIRCLE COUNTY WHERE ACTION AROSE: PALM BEACH ATTORNEYS (IF KNOWN) q !ely V foul-K/9in- ) 0 4-)/71__ II. BASIS OF JURISDICTION (PLACE AN X ONE BOX ONLY) O 1. U

upplement the filing, and service of pleading or other papers as required by law, except as provided by local rules of court. This form, approved by the Judicial Conference of the United States in September 1974, is required for the use of the Clerk of the Court for the purpose of Initiating the civil docket sheet. (SEE INSTRUCTIONS ON THE