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REGISTERED
APPLICATION
CONCERN No.
ISSUED BY
JOHN BOYLE & COMPANY, INC.
1803 Salisbury Hwy
Statesville, NC 28677
704-878-6175
Date treated or
manufactured
I GA-217 I
6-20-2005
This is to certifY that the materials described below have been flame-retardant treated (or are inherently nonflammable).
SOUTHERN AWNING
313 SOUTH H STREET
LAKE WORTH
FOR FL 334600000
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Certification is hereby made that: (Check "a" or "b")
(a) The articles described below this Certificate have been treated with a flame-retardant chemical approved and
registered by the State Fire Marshal and that the application of said chemical was done in conformance with the
laws of the State of California and the Rules and Regulations of the State Fire Marshal.
Name of chemical used
Chern. Reg. No.
Method of application
[X] (b)
The articles described below are made from a flame-resistant fabric or material registered and approved by the
State Fire Marshal for such use.
Trade name of flame-resistant fabric or material used
522
PATIO 61" 522 BEIGE
Reg. No. F-12102
The Flame-Retardant Process Used WILL NOT Be Removed By Washing
JOHN BOYLE & COMPANY, INC.
JOHN BOYLE & CaMP ANY, INe. By ~\
Name of Applicator or Production Superintendent
Control Number 08463
Order Number 48855
Customer Number 0883582
Invoice Number 1101362
Quantity 25.00
Sell Certified Flame-Retardant Fabrics By BOYLE
Your product will meet the rigid specifications of the California Fire Marshal.
JOHN BOYLE & COMPANY AND DISTRIBUTORS
FLAME!
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IE SURVEY OF THE PROPERTY SHOWN HEREON IS IN AC:CORDN<<:E WIlH DESCRlPlJON FURNISHfD BY aJENT OR aJENlS REP~l~TlVE.
J SEARCH Of lliE PUBLIC RECORDS HAS BEEN loAAOE BY THIS OFFICE fQR CURREHCY. ACCURACY OR 0NlSSl0NS Of DESCRlPllON ruRNISHED.
:IS PLAT OF SURVEY IS NOT VALID WlTllOUT lHE SlCNAlURE AND mE ORIGlONAL RAISED SEAL OF A FlORIDA UCENSED SURVEYOR AND 1.!APPe;R.
,EREBY CERTIfl' THAT THE PLAT OF SURIIEY AND BOUNDARY SUR'JEv SHOWN HEREON IS A lRUE AND CCRRECT R~RESENTAT\ON Of A.$SRVEY OF THE
:SCRIBED IN lliE CAPTION THEREOf. lIADE UNDER lIY DlREClIOH. AND IS ACCURATE . TO lliE BEST OF IIY ICN~ AND DElJET. ' ' ,
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'URTHER ClRTIFY lliAT THIS SURIIEY WEETS THE IIINfllUII TECHNICAl STANDARDS ADOPTED BY 1ll[ FLORIDA BOARC OF SURVEYORS AND IIAPPERS PURSUANT TO
"!O" ""m fLOAlDA STAW"" ... .uu:s <<~ -;;;- ~ L . L / /$1(71
Charles H. Pol~mba DATE
SURVEYOR AND MAPPER
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