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10/21/2002 12:20 State Come Ins Fund * 9171464?6588 N0,006 ~002 <br /> <br />CERTIFICATE HOLDER COPY <br /> <br />STATE p.o. BOX 420807, SAN FRANCISCO, CA 94142-0807 <br /> <br />I=UND CERTIFICATE OFWORKERS' COMPENSATION INEURANCE <br /> <br />OCTOBER 21. 2002 <br /> <br />GROUP:. <br />POLICY NUMBER: ~90334-2oo2 <br />CERT]PlCATE ID: <br />CERTIFI~TE EXPIRES: G6-03.-~1003 <br /> <br />&'t"'~i CESAR <br />20 CIVIC <br />G,Tt.~F&./~U~. C~ ~2702 <br /> <br />Th~ ia to ~ thai we have Isst~d a va~id Wo~<er'a CompensatiOn <br /> <br />~ m ~h ~is ~ ~ Im~n~ m~ ~e ~u~ or may <br />d~ hem~ ~ I~ ~1 ~ ~, ~s~l, and ~d~, <br /> <br />EI~DOR~NZ/~'T ~0;$ ~ITZTL~D CERTIPI~T; ~OLDBRS' N~Z¢; ~F;CTIV~ 06-01-2002 <br /> <br />~LOBAL DIM~IONS, INC <br />333 CZTY BLeD W #630 <br />ORANGE CA 92866 <br /> <br />APPROVED AS TO FORM <br /> <br />~a'u r a Sheedy <br />Deputy City Attorney <br /> <br /> <br />