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04-04-1995 05:59 8~?42 SE[RPTARV ~TATE . , ~..~ j,,~0-. $1A~~ <br />~ 7e.DO bTArkoFOCLOM00 ~ ~~ 007 <br />F[Ht HIENNIAL REPORT OP _ <br />qr OR tIETO1IE ACORPORATION OR LIMREO LIABILRY COMPANY a^~~ I_ 1~~,~ <br />aTHDUE ~~ - ~,lS-9 5. .-. <br />REFORTYWY 199b ~ ~ READ IN07TaUCTtONa~ON REVERai 81DE HEFORH COYPLlTINO THIa FORM uUBT BE TYPE.i] <br />• >yUHMIT 810Nt:0 FORM YtR'H FlYNO FHH 1 <br />871471676 OP 908])H'Etf1 DA7CE <br />aTl~Ti/COIIFTRY 07 IRC CO <br />tl0xxi7UtAty, .TSepTHx PhTRiCJG <br />Ilili6 DSVBLOYKitts', IliC. <br />ONLY <br />lsoa covAxx Aone 7D:. <br />DT)A1Il1O0 CD all O1 FIRftT REPOItI' OR GTIONa IN THIS COLUMN <br />Relgm completed fL bt / ~~(.,P <br />~I <br />` n- "~"'~ ~ 01 <br />Depsmnenl Ot 131R. /3~ <br />~ <br />`S~ <br />. (ipryertlte Repp~j Beotlon <br />• 1sepBreeex~e•/,8uDS20o <br />~ ~ <br />`c` O~ <br />r w rw~ ~ <br />19 E. 4th Ave. <br />Orrlver, Go 0oY07 _ <br />- G` <br />id' am Durango °uo~ R'I 32!) t <br />8ROS8>rJ1V. JODiAB ^ DA <br />noz as , <br />tll-ux>. sa ~ HTSD4 <br />BDDY, JOHN u ~ ^z <br />soz 71a4 <br />9AAT11 n !iM aTSO4 <br />GTOAep1UWltDUnrurT ~~wv PM W+wy . u , <br />RAOHBA7IC, JOfiYH ti <br />aox ss <br /> <br />aA]Tj'11 7'Z lilt •THD4 <br />~ri)C <br />J070~ H <br />, <br />sox 7ao4 <br /> <br />91fmx ns MI 07504 <br /> <br /> <br /> <br /> <br />Yl.y,p Pe~11 p 1 <br />1 es N.W. Durango L <br />Q,~, ~. CO aP_ <br />• SIGNATURE <br />Under pemhlee of psrlury end ne cn wtnorued oNker. I tleCl4n Ihat Ihle dennlel roport end. II epploehle, ~ <br />ofllp and/or ^penL hu been ea4mined try me and le, to the beet of my knowledge end beUel. We, cornot. <br />etelament of change al regidered <br />d oanplete. <br />OPERATOR v ~~ .~ paTE'Y-9 - tB 45 <br />NOTE: DO NOT USC THIS HCOf IF THIS 19 YOUR FIR9T REPOfiTlll 6EE INBTRVCTIONa ON REVERSE THERE ARE NO CIIANOE9 81NCE: <br />YOUR LAE:T REPORT, MARK THIS 80%, 810N ABOVE ANO RETURN WITH THE FEE AND DY THE GATE E INOIOATED A80VE(UPPfiR LEFT <br />HANG CORNEA). IF YOU ARE flUNO AFTHRTHE OATH OUH ABOVH. CONTACT TW 80FFICfi FOR THE PR ER FEE. (DBD) Be47761 <br />tl![ IHaTAUGTIONa ON HACK ,.~,~ <br />