Laserfiche WebLink
n <br /> 9are Joequire G�a�ent�►.�vir�iu�ye�a!# ,l�rrlo�c,:[1a�:�tylleN�.��p��eraitit f <br /> Joe ADDRESS: <br /> LENSED CdNTIxAMCM-DEMAR1MON ) <br /> €hereby atllrtn drat I arta Saeased udder 4M Pn*Wpna of ChapW 9(parnrneeecJng YAM Sectlon TOGA)of Dwimpw <br /> 3 of the 8usin4m snd Prolessipns Godo mW my bodeeCe is*U to"and et�srA <br /> Data: - <br /> y� � i - F) ,.wr:��� �V 111 em men <br /> �f <br /> '"7 Title: E`_ to <br /> s <br /> 1A WCOMPRWATH M DECl.,M MON <br /> 1 hereby■arm under l Y of perjury cce of tl►e totloeeiire8 worts: MMOK ALL T"AT APPLY) <br /> I have=xt_vd mm*A*avervoceisve cm*wt b�for wOdOW compeees9tion, as pnwbod for by <br /> ! 5eaifoef 0700 of the l�ebdr Code,lbr the Croce ok ftp wctk3x�►ftiictr[toes peg tuff rs fsa :--_ <br /> { f J have and wm nm it wrt wcx* mgmmm cn.Rust*s,am M"k*d by Seen 3700 of ttsa Lobb Coda, <br /> —ivr tate pertormanoer of the Mwlk loc�iriei�dl this penttet is ice. My wcrtters'cornperrsstiora insurance $ <br /> { <br /> carrier and potk:y mmebers aa: <br /> f 14eJtll!►that fa ttiE perFonrtaoies of flee eMtirk wlelcb 1lles pprrnit is aerad.f sh rte# persm <br /> { —any manner so xmo s to bm sur*t to flea wGdairs'oornpaa mom taws of C` ria,an e me in <br /> that j <br /> shouw b000tne Bu b*d to ttwe we MwfW aompan9OWR pegvbioM of Sectian 37M of the Labor Code, I shad€ <br /> f0foTOOM COO►PIV INth ftme paiisk s. <br /> WAPMtM:FAK-tJft>`,3r7 SWUM.t COWRAM:0 UNLAWRAI,AND OMLL OUBJeCT <br /> AN EMWI=E t Ta CV40ONAL.P*pQ11.TM5 AND CML t!p TO OW HUNDRED THCRIBAND oo1.LAt S <br /> I (tx00,M4.tK A XWVi vM-M Tm COW 00 COOMWATWK MTEWEST,ATt*MMrq FEES,AND AAMAAls AS <br /> PROWLM FOR tM 8MVW W VW OF THE LAOM COIF. <br /> -(C457 gcw .d a e,�rr....e�awaay,tmmk. j <br /> { to aign Oft San.Joaquin COW*WO f+am*App%c&&w on my bmhmO, I vr4%v*Uwd Crus nupKwhz*m is rarw tar �f <br /> _anm.I riat awd s ilt mbd is a*waft r dalod <br />