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i ~ I F ~ _ . . . _ _ _ ' _ _ ' _ . ' ' ',s~w` +cr-a-y-...c~`r+~~-'~ . s^.""- ^ TMiS FINAlICIl/G STATEMENT is pr~aw~Nd fe a fiiliy officw fe? filpq putwawf a iM UniFonw Can~w~rtiel CaM: Mdv?itY dot~ (if anr): i. D.b~e.(•1 (tod tiow• fiat) and addr.ss(~s) 2. S~aw~d I~rM(Ms) owi addn.s(~s) r« ~a'.. dfi... 1ow. r~... w.r....r ~ offk.) ~'sf jTh/~ ~~d. ` ~ . ~is~ijL~'~~/4~C~/9~- 0 llM9~ 'S-~b s. f~f'd~'~/ ~ ~ ~q~ ~y l~T; .~X.!-c ' 331~0. 1io~a lo~nu?s ,y-- ~~~~E, 33~~ 1 , e~a~ c~aca~ coa~ , REtAltp YEptilEO......~.~~ 1. This fMandiq ~fahiw«M om~~rs tM feller+fnY hP~ (or i1«ss) ol M~p~tlR ~ ` {G ~ ~ ~ t ~.,c. ~ ~ f!~' .~--y'~~~,vs" /-`i~~~'"~~S 3. ei ..w a,a /?Aa~..s(~s) C~'t/~~~/ ' 6. r?. .ca.a vorM,). .?e.. .qd.nl.l wv~+ b.lw.. .ati. ~i. so~v. ..a•~•d a c?op« 2a. Fbrde s~eMti. f aq,. iw.. 6... pbc~d o~ dr v~~Y ~rrwrr~ wcw~d Ir~br. sd .i b~ v~~ d a? ~'o"~ a~ w~ior ww~wr ilae ~qr b~ ~o rcw~d- TAis a~o/ra~M is fiNd writhart 1M d~bfoPs siqnohin fe p~riM o s~+wiryr iwM~nd iw ooMeqral. (CI»ck ~ N se) O ~?4~edr «ibi«+ w e s«~wifp i~bnq in onal~ iresdktien wrlrw tt was brwdN iMe 1Mia s~o~e. ?.?Iw# is poc»ds o( 1M oripi~wl ceYoMrd dMa~ abow in rAid~ o sKwitf inw~d v~as P~«M~ CMck ~ if cor«~d: ??rot~ds ot Co1laMrd an alw cov~r~d. Mod~+cM of Ce1Mwo1 ar~ oMe tov~nd. Fle. ~F ad6liaw~ Sh«AS PnwM~d: Filed with: r ~ ' ~ ~ . ~ . ~ sr ~ er' s;~.,~,..~.t .f e(~) d O~Ww(.) STANDARD FORM - FORM t1CC-1 ~',E t~ , ` 1 • ?'r /~1~~AB~~~ ~bworrd bY lid~rd fDier) S~a». S~oMKr nf Suta. Sre•, „t F~._r.aa . . . . , . _ _ ' S . . -'~~~~ii`-+} _ . fr~ .