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(I believe) (The applicant believes) that the facts
                 stated in this section (and any continuation sheets)
                 are true. Signed
                 Full name Ludmilla lyavoo
                 Name of applicant's legal representative's firm
                 London Borough of Enfield, Legal Services
                 Position or office held Solicitor
                 (if signing on behalf of firm or company)
                 Dated 03-01-2018
                 and address
                 details Signed
                 Applicants representative's) ('otitigation friend)
                 Position or
                 office held Solicitor
                 (if signing on behalf of firm or company)
                 Applicant's address to which documents about this
                 application should be sent
                 London Borough of Enfield Legal Services PO
                 BOX 50 Civic Centre Enfield
                 Post Code E | N | 1 j 13, X [ A
                 E-mail address
                 ludmilla.iyavoo@enfield.gov.uk
                 11. Signature
                 If applicable
                 Phone no.  0208 379 8323
                 Fax no.
                 DX no.     90609 Enfield 1
                 Ref no.    LS/C/LI/157255

               20
               January 2018
               03rd January 2018
               09th August 2017
                04th January 2018
               Dated: January 2018

                         CLAIM NUMBER: D02EDO73

                   IN THE EDMONTON COUNTY COURT

                                  BETWEEN:

                                 {CLAIMANT}

                  THE MAYOR AND BURGESSES OF THE
                     LONDON BOROUGH OF ENFIELD

                                      -AND-

                                 (DEFENDANT)
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