Molina et al v. Ace Homecare LLC

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

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PageID 859 05 / 21 / 2018 16: 35 PAX 8138782848 20008 / 0008 PageID 810 NOTICE OF NON - PARTICIPATION * I, the undersigned, havo read the Notice of Class Action and understand its contents. * I do not want to participate in the Class Action entitled Molina, et al. Ace Home Care, LLC et al, Case No. 8: 16 - cy - 02214JDW - TGW, currently pending in the Middle District of Florida, or receive any benefits from this action. * msule Signature 81288157 SUN Address Seminole, Fz 33777 813453 - 3303 Telephone Melanie Scala Name (printed or type) (/ 27 / 18 - Date - - Mail this form so that it is received by Auto: United States District Court. . . - - ADDRESS * * RX ONLY SEND THIS FORM IN IF YOU DO NOT WANT TO PARTICPATE IN THIS LAWSUIT - _ - - - _ . . . . - . * . το / τα Ξυνα 00 S3X17 HdWVI OOST - 699 - 8T8 01: 20 8T0Z / 27 / 90