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<br />YEAR MO DAY YEAR MO DAY
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<br />Approval expires OS<31,98'~
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<br />PARAMETER 13 Ord On/YI QUANTITY OR LOADING !I GYrd On/Fl QUANTITY OR CONCENTRATION
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<br />NAME/TITLE PRINCIPAL E%ECUTNE OFFICER 1 CERTIFY UNDER PENALTY OF LAW THAT I NAVE PER90NALLY E%M11NE0 MD
<br />AM fAMILIM WITi 7NE INFORMA710N 9UBMITTED HEREIN; MD BA9ED ON TELEPHONE DATE
<br /> MY INQUIRY OF TH09E INDINDUAL9 IMMEDIATELY RE9PON918LE FOR
<br />Richard A. Munson OBTNNING THE INFORMATION, 1 BELIEVE THE 9UBMITTED INFORMATION 19
<br />L~ TRUE, ACCURATE AND COMPLETE. I AM AWME THAT THERE ME
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