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PERM IT,t a . <br />~ ° `, <br />n <br />~4~ <br />s t <br />• a'a ;» <br />w x6 <br />+~ <br />x <br />° <br />~ ", ;e °. <br />LS t£n a <br />I ",e " wa p..< <br />x <br />xy s <br />grw" <br />•s,„.m <br />% <br />y~ <br />° v°...»~ g ew <br />~"K S <br />s°vzx a <br />° <br />*bi° k ' 3."da ,+» <br />% ga <br />~ •:`n + aa°a <br />Y° e ~ <br />'° <br /> <br />RLQUIREM EN T, <br />ea <br />. <br />5 °s~, c <br />: <br />a; ¢ <br />B <br />) <br />r <br />i ^ <br />: <br />~ <br />, <br />, <br />, <br />` <br />r <br />" < <br />., <br />< <br />x <br />a <br />a • <br />x <br />" <br />ax! <br />. <br />~ I <br />" <br />a °' <br />( <br />'I' <br /> q„ ° ~°?L`°#°..^a': s < +"t <br />° . <br /><. <br />j[ <br />& m <br />~ al'. <br />a <br />n , <br />` <br />.1 <br />a n <br />a <br />xa y <br />. M, <br />. tl <br />t <br />. <br />+. <br />PEN4Tr OF LAW rRAi l NAVE PERSONALLY [RAMMED <br />NAME/TITLE PRINC RAL E%[G UTIVE OFFICER I CERTIFY UNDEw <br />/rND AM FAMILIAR WITR THE INFORMATION SUBMITTED NCREIN rLND MSED TELEPHONE D A T E <br />r~ ON MY INOVIRY OF THOSE INpVIOUALS IMMEgATELY RCSN)NSIBLC ECF <br />l . /C ~1 OBTIINING THE MFORMAT08 I BCLICVE THE SUBMITTED MFORMATION <br />J- ~ <br /> <br />, <br />V V Kr IS iRUC ACCURATE AND CCMRETE I /rM AWFRE TNl1i THERE nRE SIG <br />1 Hr(ICANT V[NALTIES FOR SVBAITTING F/rISL INFORMATION INCLVdNG /Y- <br /> <br />rJI L~ TnE POSSIBIUTV OF nnE AND IMPR50NMENT SEE IB USC 5 IOOI ANO <br />~CS C~ Z~ ~~(/~ <br />~~/D/ <br />/ <br />/Q <br />G~~ 33u5C 41]19 rRnahrrx undn rArv Imrun. nmv r•rludr /mn u <br />Jln prr <br />I <br />I• 8 NATURE OF PRINCIPAL E%ECUTIVE /7V L•T~ O~ <br />V <br />~ <br />TYPED OR PpINTEO a•du•maiimum mrpnn•nmLVU.,/Frmanfim.mlhe and .i •ra..r OFFICER OR AUTHORIZED AGENT A A NUMBER YEAR MO DAY <br />CVMMENT ANp E1PLAry ATION OF ANT VIOLATIONS Irtgr/YnFr all urtutnm[nrs nn[) <br />FEitMITTEi MUST NOTIFY UQCD 3G DAYS PkI:)R TC COtlHINihG uISCdAhGi5-PART I.A.4, PV IV. MONTHLY SAMPLIGG FO:t' <br />YH, fLOY E OEG ALLONEC DURING PERIOD OF LTG ACCdSS; ATTIzCH STnTLM.~.NT TU UGR. OETI:CTION LIlIITS--SEL I. F. i. <br />g7, rL,lwlP~.ILCCS-eeweaeF Te.e wH[FN MNKNnTrc llslo)UNa tILI AYV UU ri1 Nla !'C1f1U1/ MDfAb lilG:loF <br />a = _ -,00034/940412-1838 2 <br />