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Q6mpletibn Date: 08/03/2007
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Client 10 #
081032649
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fjil/sbOrollflh; Inc..
Certificate #
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1000036979
.CERTlfICATE OE.. COMRLEl"ION.·.
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and I curriculum pertaining to substance abuse and driving a
with the understanding that the prescribed.. treatment,
.. ttleclient, named hereon, to remain in and complete this·treatment may resulfin ..
by the Department of Highway Safety and Motor
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Treatment was required at the evaluation.
This individual accepted the referral.
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program ReprElsentative Signature . Date .. Executive Director
.This certifi.t:ateis only}f imprinted wi,h the.DU Iprogra
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.PO. BOX 151351 • TAMPA, fLOR1QA 33684· 813-875-62Q1 .", FAX 813-876-0648
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