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EB <br /> <br />~ .O <br />~ <br />~ <br />f <br />V.. ~ <br />~ #~ # ". <br />~ ts, ~ . .a <br />'y <br />OIL ~ O G BBASE - ~j~ e~AMPLE <br />D <br />E ~?k#1¢+k1Cr~k. <br />~ ~ ,~ <br />~#####~' <br />^ , ## ### <br />~ ######_ <br />1 ? <br />-. <br />9ISOAL MF-AB <br />REM <br />HT - <br />. ~ r- s. . <br />84060 1 0 ;0 : <br />f M~ g ~~, r" Oi ' E5=1 f '_!~' { ', s /~ SOAL <br /> OI <br />~ ,. <br />' <br />NAM TLE PRINCtPA[EXECIRIVEOFFIOER I CERTI <br />4 1 HAV6 P <br />FY UNDER PENALTY OP lAW'7NA <br />I R WRN THE <br />FOAMATIO SUBMITTE <br />F ERBgNALLY E <br />D HERF <br />N <br />A %AMINFD ~ J i ~ <br />; <br />ND BASED ~ TELEPNdNE' ' DATEI <br /> <br />"' ~ - ~ <br />AND <br />M <br />AM <br />IN <br />ON MY INQUIRY OP THOS INDIVIDUALS MMEOIATE j <br />; <br />4Y'NEBPO!]W ~' <br />_ t _ <br />SlE F <br />'^ ~~ _- <br />~Rabuck - - <br />Karl;a ~Y QB*(UNINQ THE INFORMATION. I BEUEY THE SUB MIT7E0 {NFb `~ <br />~!'~"v~- <br />RMAT J~ <br />. IS TRUE AOCDRAT AN6 rAMPLETE I M AWPRE <br />~ THAT TNERE- • <br />ARE B <br />~ <br />V9ce: Presid M1L <br />O ~ <br />' ' ' FOR SUB~O~AIBE INFORIN TION, IH <br />NIFlCANT PENALTI <br />THE POSSIBILITY OP~FINE AND 1 P SO ENT. SEE IS. 9.CQ?.t} <br />l <br />Ud <br />= <br />' <br />I OLUDINO <br />~tOQt AND ~ 'Ig GN~TUQF OFPRfNCIPAL EXECUTIVE . <br />0 <br />'0 608 µ754~-2~Z9I 91 07 <br />I 31 <br /> <br />TYPED ORPRINTED (b PMero ~ilpWp mvy <br />udi <br />At U:EC. <br />t 1S7& (P[na <br />na..vPi <br />J <br />vndwmvlmWn lnprlmnmme a/ Imvnrlu and ffevril rv J10. <br />( <br />. <br />PFIQER OR AUTHOFIIL'Eb AGENT <br />-NUMBBq <br />~4 <br />MO. <br />DAY <br />COMMENT AND E)IPLANATION OFANY VIOLATIONQ (NNRenadlatfmYlmenmhpW '' '° `-' ~ I - <br />GIL $'= GH$]IBHi SBB FOOTdOTB P/, PAGB 3 .OF T8B PBHCIT. FOHbBHLl DISCBAHGBD 011DBB C0-0035653..,. _. - <br />i~•;K;'. <br />EPA FOUR ~~ IReV. B•88) P/eY)OU8 edlNOne /Ilex OB USed. 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