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Lead Verification Details

Securely captured and verified lead information

This lead has been verified and consent recorded.

Contact Information

First Name

Kathleen Bonnye Roosa

Last Name

Roosa

ZIP Code

34207

State

FL

Date of Birth

1947-04-12

Verification Log

TokenFE-MVL5VSH5-UMUGCM
Submitted10/23/2026, 4:05:33 PM
IP Address58.65.217.146
Time on Form554s
Consent✓ Recorded