FERMEFTEE NAME/ADDRESS (Rrii1/FrWyNwaGrulal IJDr]I.rwv)
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<br />Forrn Approved.
<br />K I 't D F. OMR No. 2040-0004
<br />Approvd expires 05.31-98
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OFLAW THAT 1 HAVE PERSONALLY E%AMINFD MD
<br />AM FAMILIM WITH TryE INFORMATION SUBMITTED HEREIN
<br />MD BASED ON TELEPHONE DATE
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<br />MV INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR
<br />OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATON IS ~ ~/ ~~
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<br />SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION
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<br />970-824-4401
<br />99
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<br />THE POSSIg1UTY OF FlNE AND IMPRISONMENT. SEE to U.B.C. 1 1001 MD a]
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<br />CODE
<br />NUMBER
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRe/erence ell etlechmen7s here/
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