Molina et al v. Ace Homecare LLC

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

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Case 8: 16 - cv - 22214 - JDW - TGW Jun. 27. 2018 Document 107 Filed 07 / 06 / 18 Page 1 of 1 PageID 860 No. 3802 P. 2 05 / 21 / 2018 18: 25 FAX 8138782846 7 0008 / 0008 Page D 810 NOTICE OF NON - PARTICIPATION I, the undersigned, have read the Notice of Claşg 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 - cv - 02214JDW - TGW, currently pending in the Middle District of Florida, or receive any benefits from this action. Beatrice Co Amadi Signature 7207 Five Point (: # 203 Address Tampa fi 33634 (812) 451 - 6293 BEATRICE CAMADI Name (printed or typo) Telephone 6 / 27 / 2018 Date Mail this form so that it is received by to: United States District Court ADDRESS ONLY SEND THIS FORM IN F YOU DO NOT WANT TO PARTICPATE IN THIS LAWSUIT