SEWER ONLY - DONALD R. CHAPMAN
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INST :ft: 92-"2104~jB
.~I:=-y__~~!_:t 99~__~~t l?f~-'
AGREEMENT
..... (' COUNTY Ft..A..
F' .1.NE:.\...l..A~ ....c/... I::" PO 194
I OFF + liEC. 131', I 1 7,.J
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(Sewer Only)
THIS AGREEMENT, made and entered into this .2B- day of Feb , 19 92 by and between
the CITY OF CLEARWATER, a municipal corporation, hereinafter referred to as "City" ,and
nnn~'~ ~Cbapman
hereinafter referred to as "Owner";
WIT N E SSE T H:
WHEREAS, the Owner now owns the following described real property, located outside the
municipal boundaries of the City of Clearwater:
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S Intangible Tax Pd.
Karloon F De Blaker, Clerk. Pinellas County
By Deputy Clerk
and
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WHEREAS, the Owner desires to connect to the City sewer main and is agreeable to signing
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WHEREAS, the City is agreeable to furnishing sewer service upon certain conditions and
NOW THEREFORE, the parties hereto hereby covenant and agree as follows:
1. The City agrees to provide sewer service, subject to the terms of this Agreement, and to
2. The Owner agrees:
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(a) to pay the appropriate annexation fee when this Agreement is submitted for
processing;
(bl to pay normal sewer connection charges and monthly sewer service charges to the
City on the same basis as sewer users outside the municipal boundaries are charged, as set out in the
Code of Ordinances of the City, until the property is annexed;
(c) that all recreation land, recreation facilities and open space land dedication and fees
will be due upon annexation in an amount and manner as prescribed in Sections 116.40 through
116.51, Code of Ordinances. In particular, the owner shall either:
(1 I pay the required recreation facilities fee if this is the only fee required at the time this
Agreement is submitted for processing, or
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KARLEEN F. DEBl..AKER, CU::.~K
RECOIiD VElilFIElIBYt ~
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. PINELLAS COUNTY FLA. _
, llFF .I~EC. Bl'\ }97:5PG _~?~)
(2) place in esltow a deed transferring title to land ora-ptomTSsorV~note-madep-ayabie-
to the City of Clearwater, or both, asrequired, such deed and promissory note, copies of
which are attached hereto as Exhibit A (if applicable) to be conveyed or paid prior to the
,
second ordinance reading effectuating the annexation of the subject property;
(d) that at s'uch time as it becomes possible for the City to annex said real property, this
Agreement will constitute an application to annex at that time, and the City will have the right. upon
sixty (60) days written notice to the property owner, to initiate action to annex the property to the
City;
(e) that it is to the mutual benefit of the Owner and the City, in recognition of the
eventual incorporation of the property within the City, to have site and building plans reviewed and
accepted by the City in advance of obtaining any requisite permit from Pinellas County. Acceptance
of such plans shall precede the execution of this Agreement by the City and any construction on this
property shall comply with the applicable building and fire codes in effect in the City of Clearwater;
(f) that all of the property described above shall be deemed a single parcel subject to
annexation as provided herein, and any subparcels of the property described above which are created
by subdivision or by any other means shall be included for the purposes of the subsequent annexation
procedure, subsequent sale and individual ownership notwithstanding;
(g) that the terms and provisions of this Agreement shall be a commitment and obligation
which shall not only bind the present owner of said described real property, but shall be a covenant
which shall run with the land and shall bind and be enforceable against the heirs, successors and
assigns of the Owner; and
(h) if the Owner or the heirs, successors, and assigns of the Owner, shall default in the
performance of the terms and provisions of this Agreement, and the City shall institute legal
proceedings to enforce the terms and provisions hereof, the Owner or the heirs, successors and
assigns of the Owner shall pay all costs of such proceedings including the payment of a reasonable
attorney's fee in connection therewith.
3. The City shall not be liable for any damage resulting from any unavoidable cessation of
service caused by Act of God, necessary maintenance work, or any cause beyond the control of the
City.
4. All notices to be furnished hereunder shall be furnished to the City of Clearwater, to the
City Manager, P.O. Box 4748, Clearwater, Florida, 34618 and to the owner at the post office address
for the property described above, at any other address which may be furnished by the Owner from
time to time, or at the address for the Owner according to the property tax rolls of Pinellas County,
Florida.
5. This Agreement shall be recorded in the public records of Pinellas County, Florida.
2
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IN WITNESS WHERfF, the parties hereto have caused this Agtement to be executed the d~.y
. ,.. . . '.' .. 'A(~' ('OUNT), f. LA ·
and year fIrst above written. f.1Nf.:.L. ...1-"') ,. .. .
OFF.REC.BK 7975 PG 196
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OWNER
By Donald R. Cha,Pnla.n
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.. ..- tm Public NOT PUBLIC, STATi OF FLORIDA
"_~ MY COMMISSION EX'IRES: NoY.17 1;"
, IO~ THaU NOT4IlY ftlBLIC UNDlaWanas.
My Commission Expires:;
Rita Garvey
Mayor-Commissioner
CITY OF CLEARWATER, FLORIDA
BY~ I
Michael Wright:
City Manager
Approved as to form and
correctness:
Attest:
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STATE OF FLORIDA )
COUNTY OF PINELLAS I
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BEFORE ME personally appeared Rita Garvey, Michael Wright, M. A. Galbraith,Jr., and Cynthia
E. Goudeau, to me well known and known to be the individuals described in and who executed the
foregoing instrument as Mayor-Commissioner,pty.lVli:ihager, City Attorney, and City Clerk,
respectively, of the above-named City and that ttN3sfl.at~amxedt6,the foregoing instrument is the City
seal of said City and said instrument is the frela'~ .a-n'd' de'ed'of ,Said City.
WITNESS my hand and ~tf;Cial seal ,"is,1~rda;f9:7- .19 ?~
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. "/. '''"",::., My Commission Expires:
blic
!>lory hi. AUSAA ~ 0
3
Notary Public, State of Florida .
My ColDmission Exp;res April 20, 1993
Bondod lhru Troy fain ~ Insurance Jne.
(Recreation
EXHltHT A
PINELLAS COUNTY FLA.
I PROMISSORY NOTE .1~1~='~~~I~(:~.!~~_?7?~_I~~(~__~(';>,7_
Land; Recreation Facilities and Open Space Land Fees Due In
Addition To and/or In Lieu of Land Dedication)
"
$ 200.00
Date:
Clearwater, Florida
February 28, 1992
This Promissory Note to be made an addendum to the Agreement to
Annex for the following described parcel:
LOT 7, SOLAR CREST, ACCORDING TO THE PLAT THEREOF AS RECORDED
IN PLAT BOOK 36, PAGE 72, OF THE PUBLIC RECORDS OF PINELLAS
COUNTY, FLORIDA
The undersigned, its successors, or assigns, or any supsequent
owner, promises to pay to the CITY OF CLEARWATER, FLORIDA, or order, the
sum of $ 200.00 in the manner herein specified, the amount being
payable in lawful money of the United States of America, to the City of
Clearwater, Clearwater, Florida (mailing address is P.O. Box 4748,
Clearwater, Florida 34618)or at such other place as may hereafter be
designated.
One payment of $ 200.00 shall be due at the time the
property is legally able to annex, more specifically to be paid prior
to the second ordinance reading effectuating the annexation of the
subject property. The monies herein noted are in satisfaction of the
requirements stipulated in Ordinance Nos. 3128-83 and 3129-83, which
seek to ensure maintenance of an acceptable level of park lands, open
space and recreation f~cilities required to promote the health and
welfare of its citizens and visitors.
By signing this promissory note, I, as present owner of said
real property, knowingly waive any right to contest the amount due and
further admit full liability for the said obligation which shall not
only bind the present owner of said described real property, but shall
be a covenant which shall run with the land and shall bind and be
enforceable against all subsequent owners of said described real
property whether or not it is mentioned in the deed to said owners, as
stated in the Agreement of which this is a part'.
If default be made in the payment of any of the sums
mentioned herein, or in the performance of any of the agreements
contained herein, then the entire principal sum shall become due and
collectible without notice, and shall bear interest from the date of
such default until paid at the highest rate of interest allowable
under the laws of the State of Florida. Failure to exercise this
option shall not constitute a waiver of the right to exercise the same
in the event of any subsequent default.
Each person herein hereby waives presentment, protest,
notice of protest, and notice of dishonor and agrees to pay all costs,
including a reasonable attorney's fee, whether suit be brought or not,
if after maturity this notice or default hereunder, counsel shall be
employed to collect this note.
OWNER:
By Donald R. Chapman
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/J1.1j,eo.A ,~- NOTARY PUBLIC STA1'It OF 'LORIDA,
'.'-. '- . ~ ~ MY COMMISSION EXPIUB: Noy. 17, 1994.
r ____.~. c::;,l-n ~b~? ok. c~ ,L.-<) ~ ~~ BONDBD 11I&U Not"ay f'UlLIC UNDIRWRm:lL~
',.w._ . ~l-<-f
EXHIBIT A
I PROMISSORY NOTE I
(Recreation Land,' Recreation Facilities and Open Space Land Fees Due In
Addition To and/or In Lieu of Land Dedication)
$ 200.00
Date:
Clearwater, Florida
February 28, 1992
This Promissory Note to be made an addendum to the Agreement to
Annex for the following described parcel:
LOT 7, SOLAR CREST, ACCORDING TO THE PLAT THEREOF AS RECORDED
IN PLAT BOOK 36, PAGE 72, OF THE PUBLIC RECORDS OF PINELLAS
COUNTY, FLORIDA
The undersigned, its successors, or assigns, or any su~sequent
owner, promises to pay to the CITY OF CLEARWATER, FLORIDA, or orderJ the
sum of $ 200.00 in the manner herein specified, the amount being
payable in lawful money of the United States of America, to the City of
Clearwater, Clearwater, Florida (mailing address is P.O. Box 4748,
Clearwater, Florida 346l8)or at such other place as may hereafter be
designated.
One payment of $ 200.00 shall be due at the time the
property is legally able to annex, more specifically to be paid prior
to the second ordinance reading effectuating the annexation of the
subject property. The monies herein noted are in satisfaction of the
requirements stipulated in Ordinance Nos. 3128-83 and 3129-83, which
seek to ensure maintenance of an acceptable level of park lands, open
space and recreation facilities required to promote the health and
welfare of its citizens and visitors.
By signing this promissory note, I, as present owner of said
real property, knowingly waive any right to contest the amount due and
further admit full liability for the said obligation which shall not
only bind the present owner of said described real property, but shall
be a covenant which shall run with the land and shall bind and be
enforceable against all subsequent owners of said described real
property whether or not it is mentioned in the deed to said owners, as
stated in the Agreement of which this is a part~
If default be made in the payment of any of the sums
mentioned herein, or in the performance of any of the agreements
contained herein, then the entire principal sum shall become due and
collectible without notice, and shall bear interest f~om the date of
such default until paid at the highest rate of interest allowable
under the laws of the State of Florida. Failure to exercise this
option shall not constitute a waiver of the right to exercise the same
in the event of any subsequent default.
Each person herein hereby waives presentment, protest,
notice of protest, and notice of dishonor and agrees to pay all c6stsJ
including a reasonable attorney's fee, whether suit be brought or not,
if after maturity this notice or default hereunder, counsel shall be
employed to collect this note.
OWNER:
By Donald R. Chapman
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c::;;~~~ 'j1tl (.~-It5SC~~:.sco e3~-fOLe /?7€-- YfJ/s 'It::/- LJA:-t a-/'
/n/l,eaE1 :1-9 9":.?:-. NOTARY PUBLIC "A,1'g OF fLORIDA.
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: 42 gur~ .
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marrant!} 1!l.e.eb
83145969
l'replU'ed by
Rhoda A, Kylis
I FlbElI~ TiTlE COMPANY .
INIuRANCE ON TITLES TO REAL ESTATE
4134 Central Avenue
ST, PETERSBURG. FLORIDA 33'711
83-42942SEM
I
~
atltis Inbenture, Made this
27th
day of
July
:0, R, 5573 p~GE1229
19 8 3 , lJetween
(STATtJTORY FORM - SECTION 689.01 F.B,)
Manuel Carvalho and Rosa Carvalho, his wife
, grantor., and
Donald R. Chapman and Patricia A. Chapman, his wife
8710 94th Avenue No. Smeinole, Fl. 33542
, grantee 0,
mitnessetlt, That said grantor. for and in consideration of the sum of Ten ($10.00) Dollars. and other good and
valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged,
. . has' grihU!a;-bargilir1ed' and'loJdrotliewa"giantee,-atidgrantee's' heirs' I\nd aSsigns' forever; the foUOWingaescnoed-
land, situate. lying and being in P inellas County, Florida, to-wit:
. .
Lot 7 SOLAR CREST SUBDIVISION, according to the map or plat
thereof,as recorded in Plat Book 36, Page 76, Public Records
of Pinellas County, Florida.
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uocumenla 1(_., 1(,0, *"IC-C~."""'."';;''''''
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ill
TOTAL
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Subject to easements, restrictions and reservations of reco51..g p ~~.
Subject to 1983 taxes and years subsequent thereto. ~ ~ .~ ~:
and said grantor does hereby fully warrant the title to said land, and will defend the same against th~~~l-Ei,
of all persons whomsoever,
o "Grantor" and "grantee" are used for singular or plural, as context requires.
In mitnes9 DlIltereof, Grantor has hereunto set grantor's hand and seal the day and year first above written.
Signed, sealed and delivered in our presence:
.dt.0::Yfd......~...............(Seal)
~~==~:...........(seal)
Rosa Carvalho
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...... ........................................................................,............. ( Seal)
........................................................................................
...... .....,.......... ..,...................... ..............,.... .......................... ( Seal)
STATE OF Florida
COUNTY OF Pinellas
[ HEREBY CERTIFY that on this day before me. an officer duly qualified to take aclmowledgments. personally
appeared Manuel Carvalho and Rosa 'Carvalho, his wife______
to me known to be the person s described in and who executed the foregoing instrument and aclmowledged before
me that t he y executed the same.
WITNESS my hand and official seal in the County and State last aforesaid this 2 7th~~y ~f July
19 83. O()~,:,i::~..i/":i..
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My commission expires: . ':,~i\ ,. ':. Notartt Public
('. ~E~nON..2.L, TOWNSHIP...1.Ll' RANGE..lLE:, PINELLAS .
. ' .
fOUNTY,
FLORIDA.
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LEGAL DESCRIPTION
SURVEY OF LOT 1, SOLAR CREST, ACCORDING TO THE PLAT THEREOF AS ,RECORDED
IN PLAT BOOK 36, PAGE 72, OF THE PUBLIC RECORDS OF PINELLAS COUNTY,
FLORIDA.
NOTE: SURVEY IS SUBJECT TO. A TITLE SE^RCH Fo.R EASEMENTS AND RIGHTS. o.F. WAY OF RECo.RD.
PREPARED FOR:
OONALD CHAPMAN
CERTIFICATE: THE SURVEY REPRESENTED HEREON
MEET TilE M,INIMUM REQUIREMENTS OF CHAPTER 21
H H . 6 FLo.RIDA A~~MNISTRATlVE CODE TO. THE
nEST OF MY KNOWLF.OGE AND BELIEF.
(,:;'/ " ? "~~
'",,~t:. ' fi') DATE It/2lt/8G
GE C>E A.sm II..F A,REG.SURVEYOR NO.2!>12
(flOl VALID UNLESS tMBOSSEO WI'" stAll
JOB N!!:
8GOGlt8
GEORGE A. SHIMP II
AND ASSOCIATES, INCORPORATED
LAND SURVEYORS - LAND PLANNERS
3211 U. S. ALT. 19 NORTH, SUITE B
PALM HARBOR, FLORIDA 33563
PHONE' 784-5496
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lOCAL FilE NO.
DECEDENT -NAME
I
CERTIFICATE OF DEATHf
. FLORIDA
\ \ ~q '\"'1~, ']I.
, ,
8.
SOCIAL SECURITY NUMBER
fiRST
MIDDLE
lAST
DATE Of DEATH(Mo. D.y. Yr,J
t.
RACE-e.g:. While. Bleck
Am. Indian. ele. (Spec;ly J
4WHITE 5e 26
CITY. TOWN OR lOCA TlON Of DEA TIi,
gft~,;::~, ~~I.~~:';ll~~1~~~:c9,~:
7d,
SURVIVING SPOUSE (II Nil.. gl.e m.ld.n n.mel
12,
RESIDENCE-STATE
265-45-6361
CHAPMAN
KIND Of BUSINESS OR INDUSTRY
13bFLA.
COUNTY
14e, FLORIDA
14b.PINELLAS
FATHER-NAME
FIRST
MIDDLE
FIRST
MIDDLE
LARRY
KEITH
~AllING ADDRESS
ts.
STREET OR R.F.D. NO,
UNOBTAINABLE
HOUR Of DEATH
CITY OR TOWN
STATE
liP
INFORMANT -NAME (Type 0' Prlntl
17", DONALD R. CHAPMAN
BURIAL. CREMATION. REMOVAL. OTHER (Specllyl
L
CITY OR TOWN
16
STATE
18". CREMATION
fUNER~RECToR-{sign"urel
19a,~dj J.--~ ,gb,
~ 208. To the besl 0' my knQwfedoe. dealh occurred at the time. d.'. and place and due
.tij 10 Ihe cause(s) slaled.
:; ~ ISlgnalure end Tille, ~
t~.. DATE SIGNEO(Mo.. DBY. Yr,1
~Cli!
ui!!:O
~~
0'"
...a:
. ri
FLA. 33515
20d.
NAME AND ADDRESS Of CERTIFIER (PHYSICIAN. MEDICAL EXAMINER) (Type or prtnll
, Ri"
21d. ON
Se'pt. 19,1985
21c.
PRONOUNCED DEAD (HourI
Unknown
M
- _ M
NAME Of ATTENDING PHYSICIAN IF OTHER THAN CERTIfiER (Type or Printl
21b"
PRONOUNCED DEAD (Ma.. D_y. Yr,1
21e, AT
5:44
P M
IMMEDIA TE CAUSE
(BI
r.l1nshQt woun.d tQ.....b(:!llA
DUE TO. OR AS A CONSE~UENCE OF: iCoti'dlion(S) which gave rise 10 cause (a) - Usl underlying cause last)
(bl
DUE TO. OR AS A CONSE~UENCE OF:
DATE ilECEIVED BY REGISTR R(Mo..DBY. Yr.1
23b, .(k.:;?: .;I., If Rc--) ~-i/
'Interval between onset and dealh
I
I Minutes
Inlerval belween onsel Rnd death
,
l~elW8en onset end death
I
INJURY AT WOR'V::~~1flo1
27B. No
1f~~I~~~~;'~~&~~E~'t:~~~;;peCIIyI OAT~ OF INJURY (Mo., Day. Yr,) ,.'
27B, Suicide 27~~ept. 19,1985 27c!1nknown
PLACE OF INJVRY":'AI ho;;;'e. "~'m. Blreel. ISCIOry. olllc. _
. building. slc./Spscl(y} .-
m Home.. .
'AAT II IF fEMALErtfWAS THERE /, AUTOPSY
PREGNANCY IN TH AS1 3 MONlliS? (yo. ,",po}
Yeo 0 No 0 nKnown 25. 1 es
DESCRIBE HOW INJUflY OCCURRED
CASE REfERRED TO MEDICAL
EXAMIN~~ ,(Spociry )'81 Ct nol
28, 1 es
'ART OTHER SIGNIFICANT CONOIT1ONS-Condcions conlrlbuIIng to de8lh buI ncI rsleled to..... gl-.In PART I (B1
. . ". "
Shot self
STREET OR A.F,[l, NO, CITY OR TOWN
Largo
S~ATE
FL
A CERTIFIED COPY MUST CARRY THE EMBOSSED SEAL OF THE RlGISTRAR OF VItAL StATISTICSe
I hereby certify that this il a true and correct copy of a certificate
on file in the office of the Local Registrar of Vital Statistics of the
P1ne11.. ~~]r ~ea1th Dep.r~t. St. Peter.burg. Florida.
october 2,1995 ~ ~4?172<'4~ . Deputy !oDed B.eghtrar
---
Of!.
fa 095.': 11" /$// ()
.' ~
. /~\ '\.
( " < '\ ..""~i /....
\J "-..J , <"'y~,r., ,"
/{~., ~:": ./i:?;,\
~' ~r /, I, ~_/;,' ",':~' c' ~
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';';-~~1 n" ,< ,;,1
-':-':, '_'..J'~:/'l!,1
C I T Y
OF
I <6')
l()/J-ur
CLEARWATER
I
POST OFFICE BOX 4748
C LEA R W ATE R. F LOR I D A 3 4 6 1 8 . 4 7 4 8
February 28, 1992
Mr. Robert Pensa, Director
pinellas County Building Department
315 Court street
Clearwater, Florida 34616
Re: sanitary Sewer , Water service:
Lot 7, Solar Crest Subdivision
1428 Regal Road, Clearwater, Florida
34616
Dear Mr. Pensa:.
..~-
.~,
Please be advised that Sharon' Mercer of Mercer Builders Inc.,
contractor for Donald Chapman, owner of the subject property, has
applied for sanitary sewer and/or water service from the city of
Clearwater. ~ ~
The following fees have been paid:
S 480.00 Water Impact Fee - Receipt No. {?-/4~O1
S 900.00 Sanitary Impact Fee - Receipt No. 1<_ /'-1 :r () 1
S 150.00 Annexation Fee - Receipt No. 70 2.. 3
s 200.00 Recreation Open Space Fee - Receipt No. LIEN SIGNED
The city of Clearwater will provide sanitary sewer service to the
subject property, upon satisfactory completion of a sanitary sewer
extension by the applicant. city water service will also be made
available. All applicable impact fees have been paid. The city
of Clearwater utilities Division will collect the applicable water
meter fee and/or utility deposit fees when applied for by the
applicant.
j16~2S7~L-~'T
/1;Jt? 3/6 /-i
Very truly yours,
~~~/---1
Cecil M. Hend~on, Jr., P.E.
Assistant Director of Public
CMH/DDM
cc: Building Director
Planning Director~
Public Service: G. smith
Works/Administration
--;;- b.;t,~)C
Works
Public Works/Engineering
DOAS: Carol Greiner
Parks Dept.: Terri Hughes
Present Owner
o
IJ77)
92 --0/
"Equal Employment and Affirmative Action Employer"
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