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<br />i NAME/f1TLE PRINCIPAL EXECUTNE OFFICER ~ I cERn
<br />AM FA Fr uNDFA PENALTY OF
<br />MIUM MATH THE INFO uw THAT I NAVE PERSONALLY ExAMI
<br />RMATION SU6MIRED HEREIN; MD B NED MD
<br />ASED ON
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<br />F TELEPHONE DATE
<br />' W. Gordoli Peters MV INOUIRV OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
<br />OSTNNING THE INF011MATION, I SEUEVE THE SusMITTED INFORMATION IS (
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<br />THE POSSI•ILITV OF RNE MD IMFtUSONMENT. SEE 18 U.S.C. S t0 BIONATURE OF PRINCNAL EXECUTNE
<br /> U.S.C. S 1318. IMW W. uMr IMr .hlun. nrr L'•'A~d. F.I.a .q ro 1IO,OOD
<br /> TYPED OR PRINTED mtlnmuirlurr lnpridwwrr a/MtwMnemoneu A.tl6 ywa/ OfFICER OR AUTHORIZED AOENi CAGE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IR•/er•nc• a0 •ttschmenls here}
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