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i ~ P ~ iMiS fINAMCIlIG STATEMENT is pnsenNd ~o a RWq oHic+r for FWq P~~~ b tlr U~ifanw Co~w~wrcid Codr. Mohrrih dob (if aM)- t. D~b~wt~) (lost Woae Frst) ond addr~sa(~s) r~q~ 3 Z S~aK~d IarMfi~s) and oddns(~s) Fx F6p Offiw (Oo1e. Tw. No~r. ~wd f' OFf'w) ~ ~ _ _ s"~~~`~ -f ' tit': n E~ < _ , ~ o - As~r~iFi~~~~. ~ ~ ~ ~ ~nd Y~r '(":i~ %'•i,~ ~ ~ ~~'i. y :.l C~~ ~Y . ; , . ~ x:~: c._ CER P0~ ~Ai ~ ~ - r_. . ~~'r'~ _ . : . 'sG ~ ~ c-f' -l,r;~ BIERK ClRCUIT QQ~ , . . _ _ ~ _ RE~C0~0 Y~RiFi~p.~~.~ 1~i~~ ~ ~ This fi~qncinp stoNwvawf oov~s IIM foUwrinp ryrpts (a ifews) w P~~h~ ~~g ~ ~ ~ Al) o( th• C011lV1~~f 9oods nor locm~d in or obout th~ pr~wis~s ca+stitu~iey th~ d~btors' ~~sid~nc~ ot ; thti~ addr~ss ebor~ s~t Forth or m a+y other oddr~ss ro whid~ tM sas~ ~o7r b~ resored and anr ~oo..ry ~~~L7~. I~st~d 6~b._ 3. As~iqM~(s) of S~awrd ~arf/ awd Addr~ss(~s) : Th~ folbwrin9 proy~?ha s G•. !~v rar~d Va~?fd. ~hor rynaww~;J aip`~ blo~, fwha Ma~ Mr ~~o~O~ /~W+~ `I U~eO~~ 101, fler:do Sh~NM; d7', hw~ Mew . o~«d an M o~oo.s+o.I .wy.r.~ny rcv~~d Iw~br. ad ~.II M obod w a7 ~ d riris iw~r~w~ Mr~ ~eI M ~e rcw~d. - Th;s sfotenwM is f~ltd wifhovt Iht d~Mar's siyiwlw~ b penc~f o sKw~ryr iMer~st ie coRofaol. (GMCk ~ if w) . A!4pdy wbjed fo o stwrily infertsf in anWM? jw~sd'icfion wl~en if vros bro~qhf iwb this sb4_ : ' whitl~ is proutds of Nr oriyirol'cdlo~erol dtw'bed abow in whid~ o s~twifp inNnst was p~rf~d~d: ~ ~ s Check $ if cwend: ~ h«Nds of ColloNrol are olw cw«~d. ??roducfs d CoiioNrol w~ olw co~~d. No. of odditionol SheHS pr~seM~d: ~j # „i.~~,.; ~ - ~ ra~e c~' . . . ~ ~ ~r;'.r_ .:C? ~ _ ~ , ' i~h ~ ~ ` sr: ~ b'_ ~ Siq~oNnls) of (~l Siynowr~tyl 9( li~s) STANOARD FORM - FORM UCC-1 . , _ oved br Rid~ord (DicR) Star. S~tr~bry o1 SMf~. SIa1~ of f4~rido FI!;n-r f~r,~~ ~r ^ _ F1~f,~3~•r.ICa~ App ~~i~'~'"~'.-~~ ~ - _-.w~ _