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tH15 ~ INANCIN~i STATEMENT i~ V~uWd b a fi4Y oFPiw fx firiwY P~ N~ IJwif«~ Ce~?dd Coda 1 Mo~wi4 dele ~1/1: -
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Martin, ~1de~ & Nsr~ Genasal FYnanc~ Corpa~af.i~on lxEe i E~ E
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g AII of th• censu~~r pods ne~ lecm~d in er abYt pr~wis~s ceest:futin~ th~ d~6~wi r~sid~nc~ et
rh~~r ~ddr~ss abe•~ s~t (o~th w e~ m1 e~hN edlr~ss b vhich flw se~~ ~ap b~ r~aor~d .~r r+r~r
I~sr•J b~bw_ _ 1. Assiqw~~(s) d S~~d hrh awd Addr~~siy1
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Th~ follosin~ orooKy= ~
6. .RS..s wMd. .wo .r~s~Ca ~vwor. ado.. ..w+ ~r r rw. ~w.'+.+ ~r o.r~r 70~, r~.J. s..4b; w. Ms.. w..
o~>.d aw ~ aer~v~ .wr.w++ rawd lirsbr. wi .ii w ree~ e~ r? ~iirl ~J r~1~ iw~~r~ Mrt ie/ M.e ~w~d.
This steMwew~ is f.led ~riq~w~ Mr d~bb/s sq~oN~~ ~s PKtid e~~?/ iw~ iw eoNoM~at. (Circk ~ if w)
_ Alrwdf whiK+ ~e o wowi?/ iMKesf in awo~N Iw~sd~CAaw ~rAew if vros brwpbt iNO Nrs sb4.
~ rAid~ is prooe~ds of dr or:yiwd cotb4rel d~sv~d ~bow iw .A.id e s~awiy~ iiM~rest ..os ys:t~cyd:
CMc4 if oo~~d: ~ hotMds oi Collowrel w dN osrw~d. Q I~odutta ef Coliol~rol or~ also oowr~d. !Jo of odQ'itiowol Siwb pn.rrM~d:
F.~ al~k of circuit co~a~t
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STANDAR~ FORM - FORM llCC-1. IlOUK PJ~E~,r~
(1) FE~`r-* C~,,~ -~iFha~eticai ~,...a r, ~:~a cad~~ s~., s.Q..o.,~ of S~o», Sa+e oi Fbr~do '
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