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s " F:NANCiNG ST~iEwtENT n pr~iranred ro 0 6Lny oH•ur for i•f;ny pu rsuont b thr. CnJorm Commnrciol Cody. 3 .raeur;r~ Born ;.f one abror(sl ilasl Nome F.rsr; and addrass'ns; I. Sncurnd Portal+ns1 and oddrnssms?~r C~~~ For Filmy OFf~c~r IGor~- f,m r., Number, and F•1, y ONKOj -~'1r.~r;' 7n?-i ~ TTn,t n:101C~77 (:x'1'7 ^,Cfw O:'~ Q r ~~o '.i~-o~:~ ro ~Q~ J~'[ l _ ,JIV -7 f~ 2~ 32 r!- Tom,?Ci ~ l 33 ~ j~ Tt PzC?'C^ "l 33' S0 f t1LQ RNC NE Cuxtrt ~~OGER POITRAS~~ dtLERlt CIttCUli ~ ~•,s 6noncmy srornmrrnr co.rrrs rM fp cior•my r~p~s or •rens~ of proD~rry r:- ~c:.c :t: ~:r ~r;,_ '.TEL ..011. ~ .OT,'~ . CO. : . _ . ~OQD ~ ~va~11 s S Mtgnrar.!sl d Sncurnd parry and Addrnssfns) _ Chnd N rrw ? Thn stumps r•Quund b~ Chop4r 201, f.5. ho•n bnen Aloud on rhn p.omnsor~ instrum~nrs sncur•d nnrnb~, and .dt pn ptocnd on ony oddir.onot and um~br fnsrrumnnt rhos mod bn so sncurrrd ?hU Uor~mnro is bind .•iMCwr Mn dnbbr's siynotuN b Dnrtnd o s~curiry m4rnsr in colbrnrol. !Chnd ?X .l so! ? Airnody wbtnct ro o wcuar~ intnrnsr in onorhn. turisdict:on whrn a cos DrouyM snb this sroN ? .~hirh fs procnnds d rA• oriyinot coftagrot d~Krib~d oboes .n ~.h:ch O s~CYIN~ mbr~st wos Dnrfncrnd. _r. rack ®i( co. nr~d~ ? proc~nds d Collornrd orn otso co.nrnd. ? produUS d Cotfornroi or• ofso co.~rnd No. of oddmonol Sheers Drnsenrnd F;Itrdwith• S~ ~.1'Q1^ CO'Tilt'' tl;;r"';1Q~.Ci Fl:'.%t:1C^ Cn'"• _.':t10 ? B~: ~ g~, Sgnawrn(sf of Onbbr(s) Siynorurnis) of Sewr~d Dartyjus) creNnsQe aeQNt _ FtDQAI? uc_c_~ ann~~~ ~ ~[~L:l~ .