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Qualifier Certification Information <br />CDPR2307 - Qualifier Certification Information <br />•,CERT NBR: 18045 QUALIFIER: 12783 MYRAS. SMITH <br />CLASS CODE: 9510 DEMOLITION CONTRACTOR <br />STATE NBR: COUNTY COMP CARD18045 <br />STATE EXP LIAB EXP WC EXP ORIG ISSD <br />2/4/2018 9/1/2017 7/8/2009 <br />DBA: MANCILS TRACTOR SERVICE INC WC EXEMPT: <br />ADDRESS 8530 SW JAYME WAY <br />CITY: PALM CITY FL <br />PHONE: 772-288-0951 FAX: 772-288-0983 <br />RENEWAL EXPIRES <br />7/3112018 <br />N OL EXEMPT: N <br />34990, <br />NOTE: This competency card, issued by the Indian River County/City of Vero Beach Building Department, <br />authorizes work for the class code stated, for the unincorporated areas of Indian River County and the City of Vero <br />Beach only, It does not authorize work for the City of Sebastian, Indian River Shores, Town of Orchid, or the City of <br />Felismere. <br />It is the contractor's responsibility to maintain this card in a current status by providing Certificates of Insurance, <br />current address and telephone number information, and renewing this card annually as required. <br />Indian River County Contractor Licensing <br />180127th Street, Vero Beach, FL $2960 <br />(772) 567-8000 Ext. 1800 <br />DEMOLITION CONTRACTOR <br />Cert Nbr:18045 Exp:7/31/2018 Status:ACTIVE <br />State Nbr. Exp: <br />MANCILS TRACTOR SERVICE INC <br />MYRA S. SMITH <br />8530 SW JAYME WAY <br />PALM CITYFL 34990 <br />, <br />Signed: Vr,G ot <br />