55 renewal letter 2011 by Yi7jJcR

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									                                      State of Florida
                   Florida Commission on Human Relations
                  An Equal Opportunity Employer Affirmative Action Employer
Rick Scott                                                                                                        Dr. Donna Elam
Governor                          2009 Apalachee Parkway  Suite 100  Tallahassee, Florida 32301-4857                     Chair
                                                            (850) 488-7082
                                                     Web Site http://fchr.state.fl.us                               Derick Daniel
                                                                                                                         Executive
Date: __________________________                                                                                     Director

The Florida Commission on Human Relations
2009 Apalachee Parkway
Suite 100
Tallahassee, Florida 32301

Reference:
FCHR Facility Account Number                            ____________________________________

Community                                               ____________________________________

Address                                                 ____________________________________

City and Zip                                            ____________________________________

Phone                                                   ____________________________________

Email Address                                           ____________________________________

To whom it may concern:
I certify that the above community is in compliance with the rules established by the HUD pursuant to 24
C.F.R. part 100, subpart E. Please renew this facility’s registration. Enclosed is a $20 renewal payment
fee.

Sincerely,

_______________________________________
President – Print Name

_______________________________________
President’s Signature


                                                        COMMISSIONERS

 Gilbert M. Singer, Vice Chair             Gayle Cannon                      Joanna Cunningham                 Elena Flom


        Lizzette Romano                   Watson Haynes                         Michael Keller             Billy Whitefox Stall


               Darcell Streeter                             Patty Ball Thomas                            Mario Valle

								
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