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i I ~ E - ~ TMIS FINAlKING SIATEMENT a pn~frd b a FI'i~g of~ fa fiGp P~ b Mr Un~/oi+n Caawierool Codr: 3. Molwiy dsle (if mf1: : i. ablorisT tlosi Now~e fasti owd odds~ts:~s: ,~'r~~ 2_ Secvf+d hrh~~es) owd addns~!~s) fer Fiwq OFfiw (DoM. Tw. N~r~r. e~d Office) } ~ - _:ur~-- . ' - `n _ . _ - o~ : ~ 9'-3-~j :c. + -+~e ~o~ ~ : ; on f{~Eo AND RE~t ' j ~ . „ _t:„~t . ~e-.~~ "~~?=':u,' 3T.LttCiE COil~ITY~ ~ i • ~ ' ' r~. _ ~~Or~~ ~ ROCER F01?RA~ ~ i _ : ie ,e ~ :'i ~ • - - - "=e ~ _ J~~• CLERR CIRCUR COWtt = RECORO YERIffEO...r~ r : 4. ih~s finonc+e9 sbhe~sM tovers 1M fdloriny ryrpes (a ituns) a? WopKfp: ~,1 ~ y2 ~~T~ 2 All of eh• cmww~r yoods now locot~d in o~ ebovt tl~~ P.a~is~s constitvt:n~ th~ d~brwi r~sid~nce at s th~ir oddnss obor~ s~t forth o~ m sir oth~r addr~ss w whici~ tt+e saw• ~or b• ...w..d e+d a~r yroP«+r ~ I:st~d b~b.. S. Assiy~e(s) ef S~wred ~orff awd Addnss(~s) ~ The folb.~ny p.ooert~r: Zj9~301 ' - _ 29~301 ; 6. ..o...e nd*y,~1. .wo.. .wa•••:~ .oo.en aw+, ae.e~ rw~ r. av.w. ~.w++e b o.w ~o~. ~a..se S~a~.c.s. :f anr. ~o.. a..-+ ~ Gb~~ O~ ~ V'~~~~1 w~1~~/M~) ~![MM Ir~. f~J ~ ObQa O~ Oq ~~OIO~ v~A ii11 wOt~M~ rW~ ~I A~ ~O 1RM~Q ; This sb?ewrwl is filed wid~oo~ the d~bbrs siqwolwe b per~acl a fetMiy iMKest in ooNoN~oL (t~eclc ~ if w) ' i - AIIlody fVbRcl b o ilavri}y iOflr~3t i0 W~Of1~M IWi~tti0~1 rrh1~1 if wOS bfOVyM iM0 ~is ttO4. ~~A%:A is poceeds of Ar aripinol cdfoterol dessr~ed above iw v.Aid~ o a~awiyr inMf+st vws peritc4d: C!+eck $:f csvered: ~/ronads of ColbMrol ar~ olso co.ered. ?rod~ras of CoiiaNrol on olw oo.ered. Ho of od&s:awl She~ts pnsewted: iiled ~ilh: .^,~,7~j O~ '~~~~'~i~~~ vOlli a ~ ' E :~~*~r~~ ~rn:nce ~o~• or ~-_~n ~ - ~ ~y . b=- ~ ~ (y ~ (s) of Sear~ed ?a?yi'ss) STANCARD iORM - iORM !KC- ~ ~~-1 F`~, . Crt'- ~ Nl~r :L~~i{C3~ ~~n~~~ ~prowd bp !'~dqrd (Oid) Sfa+~. S~cr~tory of Sro~s. Srati o~ Fio.;da C ~°~f.~'~ s.~ _-`~'a-'~E`-"~.s . ~ i . . . .