Molina et al v. Ace Homecare LLC

Middle District of Florida, flmd-8:2016-cv-02214

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PageID 858 05 / 21 / 2018 16: 35 FAX 8138782646 20008 / 0008 PageID 810 NOTICE OF NON - PARTICIPATION I, the undersigned, have read the Notice of Class Action and understand its contents. I do not want to participate in the Class Action entitled Molina, et al v. Ace Home Care, LLC et al, Case No. 8: 16 - cv - 02214JDW - TGW, currently pending in the Middle District of Florida, or receive any benefits from this action. Signature 3376 W. Hidden Haven C + Address Address Tanpa, Hiss 813 - 784. 5698 Telephone Rosa Mo Pérez Name (printed or type) 6 / 27 / 2018 Mail this form so that it is received by United States District Court ADDRESS ONLY SEND THIS FORM IN IF YOU DO NOT WANT TO PARTICPATE IN THIS LAWSUIT