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111fi Ut+trro S7A7'FS OF AsaatG <br />National King Coal, Inc. <br />Compeay or lereee Name <br />~~~~~ <br />(SiQwture of Isssee) <br />PRL„ Ili~NT <br />6/27/ y0 <br />(71t1e) <br />(Date) <br />By <br />~ ~ <br />ACtjnp (SiQaing Officer) <br />State Director <br />mile) <br />AUC 2 i 1SSD <br />(Date) <br />75t1e 1B U.S.C. Section 1001, makes its crime for any person IWOwiaylY end willfully to make W my department or aQeocy o[the United States ar <br />~lae, fictitious or frsudulent sutemenu or rapresentstioae as to say matter within its jurisdiction. <br />• form does not rnnstitute as infotmstioa eollsctioa er defined by N U.S.C. 3502 and therefore does sot require OMB approval. <br />OC i 1 g '9cr <br />