DETACH AND RETAIN THIS STATEMENT 7 8 0 DESCRIPTION

11? 780 '-t ~ 211~

DETACH AND RETAIN THIS STATEMENT

No 780412

THE ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED BELOW

?

.

. -

DESCRIPTION

Coupon Number: 130446

UPID:7105554 FEIN: 596000524

4/28/2017 FLOIDA DEPARTMENT OF FINANCIAL SERVICES

DIVISION OF UNCLAIMED PROPERTY PO BOX 6350 TALLAHASSEE, FL 32314~6350

~~~.~-

$607,881.89

Be12ortln_g Amoun!

Statute

Remitteg

F.S, 43.19 $164,405.54 Court Orders Attached

F.S, 717.117

$877.22

F.S. 744.534 $93,661.04 Court Order Attached

F.S. 733.816 $161,721.66 Court Order Attached

F.S. 197.473 $187,216.43

,., ?-? -???----.~???-??-???~?$607;881.89 .~~-?-?-?

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CHlllJl !IJNANCIAL Ol'l'JCl!R

JESF'l.'AF'J'llAorTrWLOlA\lD'r,1ER

IHJiiw:..Contnct Tnformullim1

JACQ(JAl,INE COOK BREVARD COUNTY CLERK OF COURTS 400 SOUTH STREET

TITUSVll,LlC, Fl,, 32781

SJ!.lmilltcr Contnct Int'ornrnlh>n:

1111111111111111111111111111111111111111

Coupon Number: 130446

Nnmc: Jncqunllnc Cook

Emnll: jncqnnllne,cook@hrcvnrdclcrk,11s

Phone: (321)6372002 Ext: 49285

Dntc: 04/28/2017

UP ll); 7105554

FEIN; 596000524

This filing consists of: 2017_fl_brevard_county_clerk_of_courts2.txt

(11) Totnl of cnsh Items reported nnd remitted; $607,881.89

(b) Totnl shnres of stock reported; 0,0000

(c) Totnl mnnbcr of snfo dc11oslt boxes 1?cportcd: 0

(c) Totnl number of zero reports reported nllll remitted: 0

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uB_~se_vAa_rd~-County Clerk List of outstanding checks

CompaTJ.y code CL

05/02/2017 / 10:14:48

User:

JACOOK

Page:

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