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HomeMy WebLinkAboutCity of Tamarac Resolution R-95-1031 Temp. Reso. 7063 Revised 5-2-95 CITY OF TAMARAC RESOLUTION NO, R-95-103 A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF TAMARAC, FLORIDA, AUTHORIZING THE APPROPRIATE OFFICIALS TO EXECUTE A WATER AND SEWER UTILITIES EASEMENT AGREEMENT WITH GERALD C. STADTMILLER AND MARGUERITA W. STADTMILLER FOR THE INSTALLATION, MAINTENANCE AND OPERATION OF WATER AND SEWER UTILITIES; PROVIDING FOR CONFLICTS; PROVIDING FOR SEVERABILITY; AND PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, an easement is required by City Code Section 22-191 and is required to access an existing sanitary force main serving Plum Bay; and WHEREAS, Gerald C. Stadtmiller and Marguerita W. Stadtmiller request to reconfigure their concrete driveway and allow it to encroach into the 15' utility easement; and WHEREAS, Gerald C. Stadtmiller and Marguerita W. Stadtmiller have executed a Water and Sewer Utilities Easement Agreement and a Hold Harmless Agreement with the City of Tamarac indemnifying and holding harmless the City of Tamarac against any and all claims arising out of the reconfiguring of their concrete driveway; and 1 Temp. Reso. 7063 Revised 5-2-95 WHEREAS, it is the recommendation of the Utilities Director that a Water and Sewer Utilities Easement Agreement be approved and executed; and WHEREAS, the City Commission of the City of Tamarac, Florida deems it to be in the best interest of the citizens and residents of the City of Tamarac to execute a Water and Sewer Utilities Easement Agreement with Gerald C. Stadtmiller and Marguerita W. Stadtmiller (Plum Bay) for the installation, maintenance and operation of water and sewer utilities. 1 NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF TAMARAC, FLORIDA: SECTION 1: The foregoing "WHEREAS" clauses are hereby ratified and confirmed as being true and correct and are hereby made a specific part of this resolution. 1 Temp. Reso. 7063 Revised 5-2-95 SECTION 2: That the appropriate City Officials are hereby authorized to accept and execute a Water and Sewer Utilities Easement Agreement for lot 68 in Plum Bay (attached hereto as "Exhibit 1") to allow legal access by City Personnel in performing their duties, including utility maintenance. SECTION 3: That the City Clerk is hereby authorized and directed to record said agreement in the public records of Broward County. L SECTION 4: All resolutions or parts of resolutions in conflict herewith are hereby repealed to the extent of such conflict. SECTION 5: If any clause, section, other part or application of this Resolution is held by any court of competent jurisdiction to be unconstitutional or invalid, in part or application, it shall not affect the validity of the remaining portions or applications of this Resolution. 1 1 SECTION 6: passage and adoption. Temp. Reso. 7063 Revised 5-2-95 This Resolution shall become effective immediately upon its PASSED, ADOPTED AND APPROVED this day of 199-15. ATTEST: CAROL A. EVANS, CMC CITY CLERK I HEREBY CERTIFY that I have approved this RESOLUT N as o form. MITCHELL S RAFT CITY ATTORNEY NORMAN 13 RAN16WITZ MAYOR RECORD OF COMM MAYOR _ ABRAMOWITZ i DIST. i • V / M KATZ DIST. 2: COMM. MISHKIN DIST. 3: COMM. SCHREIBER DIST. 4: COMM. A cmnc 4 VOTE EXHIBIT 1 /?. 9 5--/0 3 THIS INSTRUMENT PREPARED BY RECORD AND RETURN T0: FRANK A. UTSET, ESQUIRE GOLDBERG & YOUNG, P.A. 1630 North Federal Highway Fort Lauderdale, Florida 33305 TAMARAC UTILITIES WEST WATER AND SEWER UTILITY EASEMENT FOR: PLUM BAY NAME OF PROJECT On this -_ day of March, 1995, GERALD C. STADTMILLER AND MARGUERITA W. STADTMILLER, his wife, having an address of 9729 Grand Duke Circle, Tamarac, Florida 33321 (hereinafter "Grantor"), expressly grants an easement to the City of Tamarac, a municipal corporation of the State of Florida, having an address at 7525 N.W. 88th Avenue, Tamarac, Florida 33321 (hereinafter "Grantee"), subject to the following provisions and in consideration of the sum of Ten Dollars ($10.00) and other good and valuable considerations paid by Grantee to Grantor, receipt of which is hereby acknowledged by both parties. Grantor is the fee simple owner of that parcel of real property, a legal description of which is attached hereto as Exhibit "A," and incorporated by reference herein (hereinafter the "servient estate"). Grantor hereby grants, bargains and sells to Grantee, its successors and assigns, a perpetual non-exclusive easement under, over and upon a portion of the servient estate, a legal description 1 4, 9'5-(03 of which is attached hereto as Exhibit "B" and incorporated by � 0 reference herein (hereinafter the "easement area"). Grantee may use the easement area for the laying, installing, maintaining, operating and altering of water lines and appurtenant facilities, sewer lines and appurtenant facilities as well as for surface water storm drainage, and for other comparable public utility purposes. Grantee's right to utilize the easement area shall be exclusive to the extent that Grantor shall grant no easement or license, nor make any covenants, having the effect of permitting use of the easement area by one other than Grantee, except Grantor may furnish an easement to, but not limited to, Florida Power and Light, Southern Bell, City of Sunrise Gas Department or franchised cable TV that crosses this easement at angles. In no event shall . any subsequent easement run parallel within the Grantee's Water and Sewer Utility Easement. Grantor may, for its own purposes, utilize the easement area and shall retain a right of free ingress and egress under, over and upon the easement area; provided that, in no event, shall any of the rights herein reserved to Grantor impede the easement herein granted or the exercise of the rights of use thereunder. Grantee shall have the right to remove any natural or man-made obstructions placed on the easement which impede the easement herein granted or the exercise of the rights thereunder. Grantor grants to Grantee, a perpetual non-exclusive easement upon the servient estate whereby Grantee shall have reasonable 0 2 �. 95 -1o� �J • access necessary to fully exercise Grantee's rights within the easement area. The provisions of the easement shall be binding on the parties hereto and their respective successors and assigns as a covenant running with and binding upon the servient estate. This easement shall not be released or amended without consent of the Grantee as evidenced by a document signed with the same formalities as this document. Grantee shall record this document in the Public Records of Broward County, Florida. This instrument contains the entire agreement between the parties relating to the rights granted and the obligations assumed pursuant to this instrument. Any oral representations or modifications concerning this instrument, shall be of no force and effect, excepting a subsequent modification reduced to writing, signed by the party to be charged therewith. IN WITNESS WHEREOF, Grantor has hereunto set his hand and seal on the day and year first above written. 3 GERALD C. STADTMILL-�R MARGUERITA W. STADTMILLER /?- q5,/03 0 ) STATE OF FLORIDA ) SS COUNTY OF BROWARD ) • E I HEREBY CERTIFY that on this day, before me, an Officer duly authorized in the State aforesaid and in the County aforesaid to take acknowledgements, personally appeared GERALD C. STADTMILLER AND MARGUERITA W. STADTMILLER, his wife, to me known to be the persons described in and who executed the foregoing .instrument and they acknowledged before me that they executed the same. WITNESS my hand and official seal t r]reiJEf 14�YEE • 1995. _•: .: MY COMMISSION 0 CM1997 EXPIRES: Fe6rtiery 9 �.f1,,, Bondsd Triru Nol�y Puppc NOTARY Florida at Large (Signature of Nbt&rby Fubilc)- Print_ a I-11�' 6 ug Commission No.c�zSSt�3 (�C). Personally known to me, or Produced Identification Type of I.D. Praduc ( ) DID take an oath, or ( ) DID NOT take an oath. ATTEST* By: 41k VyVy-Vt—r--- Robert S. Noe, Jr., City Manager ATTEST: By: Carol A. Evans, City Clerk 4 ACCEPTED BY CITY OF TAMARAC GRANTEE r By: I JH Normanokbrak6witz, Mayor Date: /Q /9 By : Robert S. Noe, Jr., City Manager Date: Appipo q as4to,,"rm: •Mitchell S. Kraft; City Attorney J R' 75-1 3 u • STATE OF FLORIDA SS COUNTY OF I HEREBY CERTIFY that on this day, before me, an Officer duly authorized in the State aforesaid and in the County aforesaid to take acknowledgements, personally appeared Norman Abramowitz, Robert S. Noe, Jr., Carol A. Evans, and Mitchell S. Kraft,, to me known to be the persons described in and who executed the foregoing instrument and they acknowledged before me that they executed the same. WITNESS my hand and official seal this -.10 day oftfc. , 1995. ."PRY pce OFFICIAL NOTARY SPEAL NOT RY PUBLIC, ate of Florida at Large O G PHYLLIS POLIKOFF * COMMISSION NUMKER r �r'0 17 �O�d MY COMMISSION SXP. (Name Of Notary Public: Print, Stamp, or Niel 11-11LL�j Type as Commissioned) (,/Personally known to me, ( ) Produced Identification or Type of I.D. Produced ( ) DID take an oath, or ( ►DID NOT take an oath. tau\contract\camarac.plu sw031795.6 5 ,�- J5-/o3 . EXHIBIT "A" LAND OESCAIPTION CANO SECTION 8 LOT 68 A portion of LANO SECTION 8, according to the plat thereof, as recorded in Plat Book 154, Page 48, of the public records of Broward County, Florida, being more particularly described as follows: COMMENCING at the Northwest corner of said plat; THENCE North 89. 36' 02' East along the North boundary of said plat, a distance of 1199.33 feet to the POINT OF BEGINNING; THENCE continue along the North boundary of said plat North 894.36' 02" East, a distance of t07. 05 feet: THENCE South 010 26' 21' East, a distance of 25.33 feet; 0 HENCE South 480 29' lie west, a distance of t60. 23 feet to a point urve concave to the Southwest (the previously described course being radial to the next described curve); THENCE Northwesterly along the arc of said curve having a radius of 75.00 feet. a delta of 27" 42' 5t' , an arc distance of 36. 28 feet to a Point: THENCE along a radial line to the aforementioned curve North 20' 46' 200 East, a distance of t18.03 feet to the POINT OF BEGINNING. Said lands lying in the City of. Tamarac. Broward County, Florida AKA: LOT 68, PLUM BAY 2 1�1 ,t- 7540-4 • • • FORT LAUDERDALE TRUCK FARMS TH I S S 1 TE PLAT BOOK 4, PAGE 31 S. C. P. w uj �-iT fill�l ,Ii 7 a LOCATION MAP OT (NOT TO SCALE) mr- z V, G. C. PARK REPLAY z P.O. 146, PG. 15 6. C. R. -- t I WEST COMMERCIAL 9OULE`7AA0 SURVEYOR'S NOTES CERTIFY TO: PULTE HOME CORPORATION I. REPRODUCTIONS OF THIS SKETCH ARE NOT VALID UNLESS SEALED WITH AN EMBOSSED SUPVEYOR'S SEAL. 2, LANDS SHOWN HEREON WERE 40T ABSTRACTED FDA CERTIFIED TO: RIGHTS -OF -WAY, EASEMENTS, OWNERSH IP, OR OTHER GERALD COMMONWEALTH C. STADTMILLER AND MARGUERITA W, STAOTMILLER, HIS WIFE INSTRUMENTS OF RECORD. LAND TITLE INSURANCE COMPANY AND GOLDBERG d YOUNG, P.A. 3. BEARINGS SHOWN HEREON ARE RELATIVE TO THE FLDRIOA COORDINATE SYSTEM EAST GONE. GRID NORTH. 9729 GRAND DUKE CIRCLE TRANSVERSE MERCATOR PROJECTION (STONER/KEITH RESURVEY AS RECORDED IN MISCELLANEOUS PLAT BOOK 3, PAGE 44, OF THE PUBLIC RECORDS OF 8ROWARO COUNTY, FLORIDA), 4, SUBSURFACE AND OR AERIAL ENCROACHMENTS, IF ANY, HAVE NOT BEEN LOCATED. 5, THIS SURVEY WAS CONDUCTED FOR BOUNDARY PURPOSES ONLY AND IS NOT INTENDED TO OELINEATE THE REGULATORY JURISDICTION OF ANY FEDERAL. STATE, REGIONAL OR LOCAL AGENCY, BOARO, COMMISSION OR SUPVEYOR' S CERTIFICATE OTHER ENTITY, WE HEREBY CERTIFY THAT THE ATTACHED 'SKETCH OF SURVEY' 6. ALL ELEVATIONS SHOWN HEREON ARE RELATIVE TO THE OF THE HEREON DESCRIBED PROPERTY IS TRUE AND CORRECT TO 1929 NATIONAL GEODETIC VERTICAL DATUM (1929 THE BEST OF OUR KNOWLEDGE AND BELIEF AS SURVEYED IN THE NGVOI AND EXPRESSED IN FEET. FIELO UNDER OUR DIRECTION IN . DECEMBER , 1994, WE FURTHER CERTIFY THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANOAROS FOR SURVEYING IN THE STATE OF FLORIDA ACCORDING TO CHAPTER 61G17-5 OF THE FLORIOA ADMINISTRATIVE CODE. THERE ARE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE SHOWN HEREON. SUBJECT TO THE QUALIFICATIONS SHOWN HERE FOR THE FIRM, SY:_ ---•- ^------------ MARTIN JO EPH SHATTO PROFESSIONAL LAND SURVEYOR FLORIDA CERTIFICATION N0.5219 REV I S I ON DA•wN F). or IE OF IELO HOAK G I ELOBOGK ICHECnEl / PAGE 0r� VACANT JWN 10/12/94 414/21 MJS PLOT PLAN RAP N/A I N/A MJS U/C TIE-IN JWN l0/12/94 414/21 MJS ADD PROPOSED UTILITIES RAP N/A I N/A MJS FINAL SURVEY JWN 12-19-94 428/07 rya CAAIG A. SMITH & ASSOCIATES CONSULTING ENGINEERS -PLANNERS -SURVEYORS 1000 WEST MC NAB ROAO POMPANO BEACH, FLORIDA, 33069 ip (305)782-8222 CERT. NO. LB0003110 PLUM BAY tI LOT 68 A PORTION OF LANO SECTION 8, AS RECORDED IN PLAT BOOK 154, PAGE 48. BROWARO COUNTY RECORDS CITY OF TAMARAC, BROWARO COUNTY, FLORIDA CAC) LIBRARY: 1529-14 SCALE: NAME: DATE: N. A. DRAWN: JOHN NEW 12-20-94 mojicT MO. CHECKED: I")';QA740 I2 Za•`Ttl 92-1529 FIELDWQRK: HALVERSON 12-19-94 FIELOBOOK 1428 ,PG. 07 SHEET 7 OF 3 F 10 10 0 20 40 80 GRAPHIC SCALE IN FEET SCALE 1' 20'�WEI\O�LE IP1N$ 6'1� fit (tp O P.O.0 a (�t�ifpy 40a1 �P8 �• PG 31 05r , ' NOFIH 51 CO 9t NOA1H Zoo" 5ECI1011 a' • � \07. . 36 02 rn L►N8 SECIIQN PG. 48 8• C.P. ' L►110 M09 \ w na P.9. 15�• \ fit � N89' 35 eZ• E + I— 5' fit 1 ,f99•�3 I 1 1 1 68 / �0553 UIIIIIC L.�T 67 I ,,r ,� 1►�,crf 1 1 \ w t 1 1 LLJ 1 Z t A. ti 0T 6 LEGEND a� (Sir �00~ x a% s 1,p , • O ati 0 �a O 1x (Ocnl k t L L ILL (11AIrlt([. rq.w {ar11r iCC1.�t cur <lat mt•Islot CL tilp WI. COrG fIµK1Ui t, l L `tf%ta c`L a[tr•aut ((Allµ laR iL nnwa t76[ RI rt n t7. "'" n.t¢ it�i lu tol rr low .Mu/Itln A° ur ty . NI°. tE17 w tIK[Mlx Alto fwm "'m'K, t uat G L 1, arl(( ult rttn l Lt.L ..nwa t[R(IIL It.11ttL GII>r 11x1µ rL(m0S IO<X 1lL ircr. R..K.8 cPUq r°PI trail or [[fll of r, 0. L r, 0. C. "lot or �LAt"l uolvil [[ t:l rry/It(W ntL itpllYt ,�-- 1 � ur �w�uio' too ♦. i wu`Kin SQ• �/ y /��' -D yi' 4 f` It.X ".,X"n[1.IIW mod wro 9 Y r r ty nnmis naula. 1N \ .m K F IE108001( NECKED REV { $ION DRAWN OAtE Of r. If 0 WORPACE EIV VACANT JWN 1 10112194 11. 414/211 MJSrBAY 1 PLOT PLAN RAP N/A N/A MJSLOT68 7AECOROED U/C TIE-IN JWN 10112/94 414/ 21 MJSND SECTION 8, PLAT BOOK 154 ADD PROPOSED UIIUIIES I RAP I N/A I N/A MJS PAGE 46. 8ROWARD COUNTY RECOAbs FLORIDA FINAL SURVEY JWN 12-19-94 428/07 M 1S CITY OF TAMARAC, BROWARO COUNTY, CRA I G A. SMITH 6 ASSOCIATES CAD L I BRARY: 1529- 14 SCALE: NAME: DATE: I' ' 20' CONSULTING ENGINEERS-PLANNERS DRAWN: JOHN NEW 12-20-94 DROAD PPOJECt N0. 1000 WEST MC MC NAB OMPANO BEACH, FlORIOA, 33069 CHECKED: M. SgArlo 12 zn 9y 92-1529 (305)762-8222 FIELDWORK: HALVERSON L2-19-94 coa s CERT. NO. LB00031,10 FIELOBODK 1426 .PG• SHEET 3 OF 3 -�` IDS-/03 I MAR-10-SS 12,20 FROM- GOLDBERG AND YOUNG PA ID. 3OSS649000204 PACE 12 LAND DESCRIPTION UTILITY EASEMENT LAND SECTION 8 A portlon of Land Section 8, according to the pplat thereof, AS rtcarded In Plat book i63, Pepe 48, of the pubIle record$ of Broward County. Florida. aeing more particularly described as follows: COMMENCING at the northwest corner of said plat: THENCE North 99'36'02' Esst, aeon the north line of said plat. a distance of t199.33 feet to the POINT OF IJESINNING; THENCE continuo Morth 89'36'02' East. a dIstanco of t6.09 feat; THENCE South 20048'20' West, a distance of 125.35 feet to the bagglnnlnq of a non-ismggent Curve concave to the Soutnrast (said paint bears North 3205'33• East from the radlus point of tha next deecrloed curve): THENCE Mortnweaterly, along the arc of said curve havingg a radius of 75..00 feet, a delta of II132' 13', and an are Olttanee of 16. 10 feet: THENCE Morth 20' 46' 2Q' EAst, a distance of t te. D3 feet to the POINT OF BEGINNING. Said lanos 0IyyInq in the City of Taearac. Browewd County, Florida containing 1822 souare feet. mars or leas. Ia10K CRAIG A. SMITH & ASSOCIATES COK'StJlTII1C E'?ICIIEE0.5•pLMMER6•Sl1RMETQtS 1000 WEST MC NAB gOAO cdosFLORIGA. 33069 I3061762-6722 lCM. W LMM 10 SKETCH OF 5E9tA IPTION UTILITY EASEMENT .V%t �A 0U�1V RE CITY OF TaNAAAC. WON CoLmTY, FLORIDA CAD LIHRAAY: 1621YIEGO SCALE: INANE: JOATv K A. OflA11M: n. P£ORAZ 9w08-9a owal CKCX9O1 CAULFIEL 07-16" F 1ELOWWK: r 1 oc„I ae. SKET I OF 7- u.. wn u. w•�rwn . • a. ...+.�.. •• rA riW MAR--10-55 12.20 FROM GOLDBERG AND YOUNG FA ID. 3osSG49000204 PACE 13 0 3 0 24 40 AO MEMM ORA►MIC ICALL IM FIMT —w FRI =CALL �• as �pc �J ILftl�m IlIU IF tt IMM C3lmm Cm 'LMO 811E1 IF Im ttIAI 'LIB f[CTI I if v t t;. 09, N99. 38' 024 E N 36' OZ• E !199. ' LEiEIO lout OF imium P9 PLAT COOK OCR Pemum cal v RUM PARCEL "A' OM OFFICIAL AEC0903 MR " L.ANO SECTION 8" SO. FT. SQUARE FEET P. 8_ 154. PG. 48 8. C. R. g� w` LOT 67 t LOT 68 ky F E-1 44`� �- \ LOT 59 N \� 0&' ` G9 irlsl SKETCH OF DESCRIPTION sspptlET IPIT � i TI FASEor �c f NT PA ,�. ARp "Owl 1 9� DA gt71 qM T! l= CRA I G A. 51t 1 N A I UQ L 18PAAr: ►s22M3e acALs: CM"TNK E11sIMEEN3-PL - NAME DATE v20' t= WEST MC NAB ACAO S�RAMM- a_ vEDlux ai-OA-W cossrU69EA01, FLOI IU 3" rlmxxxa CAMF I EL �•!lfX4 (3MI IU- 8222 F I ctaror�t: CFpT. MM LM=I lU F I ELD s11EET x OF yoY+ LLer 90L Sac xLtwa v atna 07•yi crow id. so'VIM ,, 9'S,163 THIS INSTRUMENT PREPARED BY, RECORD AND RETURN TO: FRANK A. UTSET, ESQUIRE GOLDBERG & YOUNG, P.A. 1630 NORTH FEDERAL HIGHWAY FORT LAUDERDALE, FLORIDA 33305 HOLD HARMLESS AGREEMENT This Hold Harmless Agreement ("Agreement") is made by GERALD C. STADTMILLER and MARGUERITA W. STAOTMILLER, his wife, (hereinafter jointly called "Owner"), whose permanent address is 9729 Grand Duke Circle, Tamarac, Florida 33321, hereby agrees to the following: R E C I T A L S I. That the Owner is the fee simple owner of the Property situated in the City of Tamarac, Florida described upon Exhibit "A", annexed hereto and made a part hereof (hereinafter referred "Property"); 2. The City of Tamarac, Florida is a political subdivision of the State of Florida (hereinafter called the "City"); 3. Pulte Home Corporation, a Michigan corporation, is the developer of the subdivision located in the City of Tamarac known as Plum Bay (hereinafter called "Plum Bay"); 4. Property is located in Plum Bay; 5. Owner desires to reconfigure the existing concrete driveway located on the Property over an existing and proposed 10 utility easement. NOW, THEREFORE, in consideration of the City's approval and issuance of a building permit to the Owner for the reconfiguration of the concrete driveway located on the Property, the Owner agrees as follows: I. The above recitals are true and correct. 2. The Owner shall indemnify and Hold Harmless the City, Pulte, and any beneficiary of the existing and proposed utility easements, including but not limited to FP&L, Bell South Telecommunications, CATV, the City of Sunrise, Plum Bay Homeowners Association ("Association"), The Plums Master Association ("Master Association"), harmless from and against all claims, losses, liabilities and expenses including attorneys fees, rising out of or in any manner caused by, Owner's reconfiguration of the concrete drive over the existing and proposed utility easements regardless of whether said claim, damage, loss, liability, or expense is caused in full or in part by a party indemnified hereunder. 3. City, Pulte, Association, Master Association, and any beneficiary of the existing and proposed utility easement will be held harmless from the cost or obligation to restore the concrete driveway or portions thereof caused as a result of repair or maintenance to existing or proposed utility easements located on the Property and encroached upon by the concrete drive. 4. It is agreed by the parties, hereto, that this Agreement will be recorded at the Owner's expense in the Official Records of Broward County, Florida, and that this Agreement shall be a covenant running with the land and be binding upon the heirs, Personal representatives, grantees, assigns and successors in interest of the Owner. A0'r5 • • • IN WITNESS WHERE F OF, the Owner has executed this Agreement this 23 _ day of , 1995. OWNERS GERALD C. STADTMILLER MARGUERITA W. STADTMILLER STATE OF FLORIDA ) COUNTY OF BROWARD ) The £oregoin instrument was acknowledged before me this �zS day of , 1995, by GERALD C. STADTMILLER and MARGUERITA W. STADTMILLER, who are personally known to me (or have produced o- as identification]. ( IGNATVE OF PERSON TAKIN ACKNOWLEDGEMENT) .✓n�rc�'3akti ]ENNiFER TAEILING I JE Q ill I F E /e 7—gn c-iA,2 r 4 MY COMIMS.:gN / CC 284as1 oaf EP111ES:Mueti11,1957 (Name of acknowledger, typed, printed or �x:�.,.:a•' so�adA1.1 w;0.10euna.wnn.�i stamped) E[.D CTQ7�P0/N�tTo,� (Title or rank (serial number, if any) Lau\cCnrSscC\tnrmlu�.�gr �r021695.7 PA