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Name (typed or printed)- Phll Barth <br /> Title- President <br /> (CORPCRATE_SEAL) <br /> Attest <br /> (Signature of Corporate Secretary) - <br /> Business Address: _1717 Indian River Blvd, Suite 202A <br /> Vero Beach, FL 32q60 <br /> Phone No.- (772) 778-3072 FAX No.: (772) 770-3017 <br /> Email <br /> Date of Qualification to do business is. 11?Z2 <br /> AJoint Venture <br /> Joint Venture Name (SEAL) <br /> By* <br /> (Signature of joint venture partner-- attach evidence of authority to sign) <br /> Name(typed or printed). <br /> Title. <br /> Business Address <br /> Phone No. FAX No.. <br /> Email- <br /> Phone and FAX Number, and Address for receipt of official communications* <br /> (Each joint venturor must sign. The manner of signing for each individual, partnership, and <br /> corporation that is a party to the joint venture should be in the manner indicated above ) <br /> * * END OF SECTION <br /> 00310-12 <br />