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July 5 , 2012
Indian River County Fire Rescue
Attn: Chief Brian Burkeen
4225 43 �d Avenue
Vero Beach, Florida, 32967
Dear Chief Burkeen :
Enclosed please find a request for transfer and name change for All County Ambulance ,
Inc . The application referenced in the request is attached thereto for your convenience .
Please note that as per the attached document , we require a new COPCN for All County
Ambulance, Inc .
Please do not hesitate to contact me anytime at (305 ) 403 - 5277 or by email at
CMaymon(&AmericanAmbulancefl . com .
Sincerely,
Charles Maymon
General Manager
All County Ambulance , Inc .
Encl .
PO Box 221178 Hollywood , FL 33022 Phone : 772 -293 - 0322 Fax : 772 - 293 - 0323
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111' . �'NL�IM4IRM{,MII : A[tOgt4M\ORA'r4rroA p^RroN
State of Florida
Department of State
I certify from the records of this office that ALL COUNTY
AMBULANCE is a Fictitious Name registered with the Department of
State on June 27 , 2012 .
The Registration Number of this Fictitious Name is G12000064615 .
I further certify that said Fictitious Name Registration is active .
I further certify that this office began filing Fictitious Name
Registrations on January 1 , 1991 , pursuant to Section 865 . 09 , Florida
Statutes .
Given under my hand and the Great Seal of
Florida, at Tallahassee, the Capital, this the
Twenty Eighth day of June, 2012
1 VA
Secretary of State
d _
� . A&
_ * Authentication ID : 400236897104-062812-G12000064615
WE �¢ To authenticate this certificate,visit the following site, enter this
ID, and then follow the instructions displayed.
https : //efile. sunbiz .org/certauthver. html