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, ~ S~!NANCWG SiA1EMENT .a p~~seoeed ro a f.t~oq off~c~r For 6:,~y p„rwont to eM Uniiorm Comme.aoi Cod•. 9. Moru.;t~ do~e Cf ony< ~eb~or(sl (tas~ tlnm~ Ftru! cnd odd~~ss(~s; 2 S~c.~r~d PonY(~~si ond oddr~ssi~sl ~o. i~i~ny OHtc~r tCof~_ :.m~, Num~~r. pnd F:t;~ Off,c~7 JBVZLiI'c" :il~_iam , ~nir?e ~ ' :i~~ senol_~ ~'~~nance ~oreora i~t4EUahe*t~~RQE~. r =.;~~0 ~].-~a::~ex~ ~1~~ ~ fi r0 -~px 321~ ` ~ sT ROC.~''~UMR~3 R ~.~r ~ ''t t' 1BY'C8 ~ 1' la j 345~ ='L = 18PC9 1 g CIfFK 'CJIt COU T'}~,~Y' C ~ l RFC~`R'~ Y~: -~r1...¦..~~ ~"r' ~ t 1AIt flnonclnq ftol~m~n1 to•~rt M~ lollarin~ hp~s (or a~m~; of DroC~rh 'U ,S 6 ~ ~a 3~~(~~.g~~ E~~_,T. . ~ ~ _ "i~~' ~--.]L~ ~ ~~~~~~J• S ss.g~.~f~)dS~c,...AOo.ryand~wid.~s.{•sl ~ Ch~d M hu~~ 1Ai ~tomps r~pylr~d 67r Chopt~t 201, F.S Ao.~ b~~n otoc~d on M~ Drom~s~orY ~utrum~nfs ~~cur~d hsr~by. ond rHi b~ ploc~d on on~ oddir~ona~ ond stm~lar ~mtr~m~nt Mm mo~ b~ so t~cvr~d 1M~ stat«n~nl ~s fU~d ~1tF~pV1 eh~ d~bbi ~ ft9nofun b p~r{KI o t~evrlty ~n~~r~st in eolbt~rd. (C~s:l N so) ? A1tWdy wO~~cJ b o s~cu~lty IN~r~s~ In onolF~~r ~urtsdktWn .,h~n Ir vos brwqA~ Inb thM s~o~~. Q.hid~ is proe~~d~ ot ~h~ o~~pinol eoflot~rol Q~terib~ obo.~ ~er .AUl~ o swrte~ ~n~~.~s1 .os p~fi~e~~d •~:h~d ~ d co+~r~d ? Proc~~ds o1 Col{a~~rol or~ olw co.~r~Q. ? Pralvcts o/ Goliot~ro7 or~ ae~o aor~red Ho of odd~f:onol She~ri y~i~nr~d . ~il~d v+ith: r 7 ) / j~/'f~~~ ~ ~ 1~~~\\`~~ v-1J . -r / ~ L! I~ ~ ~y: r~~,~~~~ i ~t'Y~1 Y .J:^1 ~ : ' ~ By. i ~ , ~ ~ - Stqooh+r~lsl d D~bbrls) ~ h,~r• q r~d Do.t~tysi ~ ~C~ p. F, ST NA D~RD FORM - FORM UCC-1 f~ t~t/tJ ~ ZtI Appro.~A bf ~QA 4DnM~.'.,e:~atc.~ tr~•~. 5~~+~ d Fbr:de ~ . . . _ s - _ '?i..