Loading...
HomeMy WebLinkAbout1857 ~ . { TNIS FINANCIHG STATfh?ENT is p~senNd w a f:lin9 officer for fili.q qrn~+t to tM Unifw~w C~aw~wcio~ ~od~= ~'~Ot'~"~ iv fJ:M OH:w ~Oo~e. T.r. N.~Mr. ~wA i.fiy ONic~l ~ DeWw(s) (lou Nor Finy ond oddreuf~a) 2. S~cv.~d ?mt~l(i~s) anJ oddrns(es) ~i~!/L~~~ ~E~~b~ ~i'1 l~ ~y{~7~A G. ~/1%%¢16L'//a~ ~L7~L%~~J FILEO AAfl iEiJrQ~p ~ ~ 5~~; i ~fi/~ :v.:, c-~ ~.I' ~=0~ ~ ~~7r~ ~6~~,:,~' il.luuE :.ou~Tr F~A. ~ - 3fC ~ ~ ~j X.i ROC ~ ~'~~S .,a = ,i~T c.~LC, ~Z- -3 f'T. ~%~C.~~C. ~-t/~ ~ CLE K ~i= ;.u,~ C01lRt ~ ; RrCCRi YCR'='~Or.~ ` -s . v~ ~ ~ f~ ~o., ~a ~ ,~n.11 12 03 PM'7~1 ~n ~ 3 ~ f~i:l~-~C"s~c~ ~ ~ f~%> ~'`'liN.r.~ t ~ ?~~'~i .1 ~ ~ 7~~-~f ( ~ S_ bs:y.w~ts) of S~cw~d ?oAp ond Addr~ss(~s) ~ ~ _ ~/,J/ ~/47 ~~~!_,C~l ~L{~' - ~ . ~z 3 ~ ~ 6 -~e ~ecw~d oaA~f 1~oss rq+a~~e(.; anp~o. bcio~. us~s ~ N~e io.~oa .ea+•~d br CL~o~« 1'Ol. Fbdo S~arws. ~ aeM. l~ow bw• ~ tbc~d w!~e ao.~oi wr.w~awrs rc.ne Aenbr. a.d ~a E~ obc~d o. w addsowi ae rw~v rrwrer ~40~ wor be o secr~d- - Thi~ s?otww~it is fit~d wilhw/ kw dabor's sig/wNr~ fo V~~ o s~cvrify inbr~sl in coflotwd. lCh~cL ~ if w) - :,J Alr~ody wbj~tf b a s~cvrifq inNresl in anoNw ryrisdcfion wMn i1 ros brwpM ime tl~ia s1aM. ; ~I~:ch is poc~eds of tl» eriqiiwl cdld«el dncrib~d obo.n in wrhid~ o s~cvrihl infMSt wes p~rf~ch~ C~+eck ~ if cor~red: Q?r««ds ef Collaeaol on olw ce~~r~d. ? hoduch of CelbNrol a~~ olw covw~d. No. of odd:t:awl SMMS WK~^f~d= ' Fiied wit6: ~/(~.N'G L7~ % ~~.~i/~~ - (~~C~~./~ ~ ~ _ y bY- l . ~ s er: ` _ ~~N~~~ a s:yn.,w..:s) of o.b~a.;.1 - STANDARD fORM - FORM UCt-1 8Q~ G(1~~7 ~ Aaac.ed br Rrchrd (Dr_Y) Stw.e. ...~e++-. :•a-r . _ - . , . ei.FNA.'~F1 `,L - k~F~ - ~ - - - - - - - - 1'~ - ~ ~ i'' ,:o'~ ; ~ ~,~4~..'~; - °