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vcc Rc•~ ~,~,e - n~aoK i.oe~+: suuo~ F«n+~ u+c., ai~?ao, f~a. ue00 • Q r ~ +970 - Su1t01~ FW~?i t~Q~ ~~5~1 , . ~ ~ ; . . ~ " V ~~~V ~ ~ ~ . - s~r~?~ o~ ~?oaroA , ~ ~ J S ;q : _ t~I1~ORMlCONI~VIBRCIAI~~`CQOE~-= R~~NA~G~Gi ~~'~i~~'~V1E~ . , , ~ . ~ . (use ONIY~fd~ feco~cffng t~i ~if~ce: bf'Clerks of~iFi~'Citcuit Co~t -~NCTafo~~fflT~'~~wTIK'~tFie Sec~~t~'r'~ bf 5tat8:) i,tvSTy RUC~IpI'~: ~~M~'~`f~~f~`USing a~y`pew~it~~"' hsv~ing a'':9o~ibbon,' A"~"D ~C~~T~I~`~'fi~PF `~~H rf~!'~~ BEI~I` EAC~1 SIGN~~`~.R • ~ ,m , _ , ~yuN .w . 2. ee su-`~e' to"~ill `~n' A~l +~~bered ~paces whtc~h br"e `~~~Itcable. • - . , . 3. If any~space is~not°large eno~~ ,~T+~"pe therei~ "'See a ta~Fi~d'sheet~`s)":~'~Fi"~`'°3tt6 shbuld'be $'ii' x 14" or sm~ll~)_ - a. es a~teaw~i~hs~ o~nab y~` der~i'~ ~ T~wli$thi`th are ~~e~to° betome~'fixt~`f`es;~fjtpe i~s°space~V~: '4 a~"de3~'`~~ton of~~he°~'eei . ' ~ . ~ . is sleuri~'i and 9ive ~ nam~ ~f~'e~6fd "owne~. 5. SEN~ ~~`IG~~t~'Ofi ~F.J~~i4G~~t~~~"C~l~t`~`S~8F~1C~-t~`~e~ r'eco~ded ~~nd*ret~irned ~`iP.~yo~? $r~ ~~'yt~g °ai~-~addittonal' fee , ' _ . ,rr : -*c~;< ~ for havirrg~reco~di~g'~ f "e'tidn ~ot~d on' a~~co~i` bl~~~se~dra~legible^ca~fio`~"cop~ e~f''i~e f~~'t`pags• ~ b_ BE'~UR€~T~ C~E~1~"d"~1~'"O~~IV~~~A~~~~R~~: 8 BE~~~ - ~ - f~Th~i ~I~i1~lA~GIN~' ~ T s°'~~ea~~ited ~ to a~ Clerk of The C~r~it Ca~~t - ~ - ~ . f~~ "Recordlr~g ~ pt~n~ieni~ to ~ ths ~ nif ~F'~C~nir:`i~~"~~at' ~c(a.-, ~ D~bra(~)'~l+m~(i~'"vnJ Addni~ii~ +f eimi~~iiiH ~ 4:''Sieti'rsd~P~'~r'''(i~il~~e?~'l?ddriu(H) ` ."'TFif~"ipaa fa'~1'~ik'~ v1~i'~~~ _ , ' ~ Gornran ~~`ianl A. aI~~~i~l~"'Ii~demni~r'~C~uipa~ , ~ w ~ ~ ix 410 13~h~~t °25S~ .C~f~ia~S~~`eet . , ~ } ~`Y '~d~, ~ . tioboken, . . 'San .~aneis~o; "CA' 9~!i t ~ . • :F ~ , ~ . . , ' 3. ihi~~~`rifien~nl`cown rF~' (oltow~i+9~NPM (b~'.;he+sl df'PERSONAL'~PRGERiY;~~1~~~~5. or fARMbPRO~~S. . ~ ~ (See Aftached~;ap~~'1`"A~Fdr",.-A6New'Des~f~io~~"~f"C'b~l~~~c`~-) , ? m • 5 ~l L~/113~.~~~7J ~ - . . 5. ~ ~.t ~ry ' ~ ' . . . _ r . _ - . . . . _ . . . . . . ` i . . 1 ' . . . _ . ~ ~ : ~ . . ~ . , . ~ . ~ a . - . ~ . . . . ~ , ~ . ~ 5 A d~wN~rwe oF`~~rNl}atm wl+isb'"rN~oerb~lrid~nHFi~a ~wh~~•~s dnaib~d" and'~h~e'n~mi bf~M+i ownii`~~f ; ~h~ r~~i plop~rly. . ' . ~ ' ~ . . . . . ~ ' ~ ~i . . ~ ~ ~ ~ - - ' ~ j ' i I S. M~twilji daN"'~il= My~ 6. ~ f'Ju~nb~t Of 'shNft ~n '~j : ,I 7 Auye~('tl df S~eu~c~~ny(Nilind AddnsK~tl = , Lndus~~ial ~Indeiti~tji~Cori'p~~riy . . 255"'Cal'~f~tiCfia~`~~iteet " San F~~f s~'o af'CA~~'9~`t l . " * e. ONE~'GR~~"`b`~iiER df~~l~'iNi6 ~STAfEMENT3~ MU3T 8t G~fECKED. ~O~k~rwis~ ~i~ ~i!` ~Wf°~~cadabl~.1 . . . . . I CMde cf `rrws Q il+i'"ifrer~ps nqvind bY `~~N 101: f.S: h~w F~n pl~ad ~ on' rIN ° proeniuay imirwmnn " s.iui.d'h:i.by..u+d wiU b~ pl~ud or •ny'"~dditia~+1'p.on+i~wry ~n~trwn.nn.~ ~dva+a, o. ~iinil~i"iii~fiumem th~t rnay'~bii sb atui~d. i Ch~ek ;i..l.w: ' S~wnp~ ah`~+of ep~i~ b~`ir~haph~-201 ~'f.3. ; . I ~ ~ 6 " ~ ; ` t• `Hqn . ' ' „ ~ coll•r~n1,` ch~cli,: dM af'~h~ followinq: 9. if fliCollal~ril^w~s subNCt~re i iicw~ ~me~s~r'~A aealwrf wrdkttoei wl+~nt~wa 6r' ht'cnro rh~t'~~m. - , - ` L'~Goli~rN~t piocs~di of rh~ oriqin~J cot4rNal daE`~~b~d . abow ~~i whi~t~~a' i~e~i~~~'~nt~~~t~ w~~ pnf~tt~d. ~0: ~hKk ~f iwN X~ Orai~d~ bf~'GoII~iN~I '~i'+~I~e tbver~d. Ptodu't~~ of'tbfli(~i~I~ii' ~I~~ tovKrd. 11_'a F~ttd ~i+i?h: I~'~.~tir. ' LUG~/'" ~(~~~'i~/ y't~~~"'i°~nti 'A: ~ ' ~~t ,..liyF~1t~'%~~~~ng, ~I~.,"G~1~~lyP~~Y ~ Ictidti~ i~l." Merr~ ~`~~I t r fo~` t~I~ian~A. ~ GOt~rast . > . ' ~ , Q~- < . , . . r~ ~ ~ . ~ ~ ~ ~ n, , ~ ' ~ ~ ~ . ~ ~ . ~ ~ ew. ; & : ; , ,w 8 k ~ r:. - (1~ ` rSt~tt`fe ~qn~~ur r°` •oe~t? Q~ V t ;,S~qni?urKfy'nT'S~cvreo'~lir~yf4l~1 ' : typ~ `"ri'1mt of~o ~ t~th '~iifl?~r~Yi1 I ~ :1YCi n~nl~ 'a~fOw f~tri"1t~ISf"?W~! ~ f~Tn~l ifo bt s!m' ~o CIlik`!or ~~co~d~nq.! . • y ~ ~ 800K~ ~ j~ ~~ACE ~ . . . _ , - _ - ~ . --•---~-r•--- - . ~ - - ' - ~ . _ y