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' <br />'~ <br />. ra a .-.. C~ <br />,. <br />..i. <br />p <br />-- y B/I~PL <br />O L <br />;. a ~ r_~. u yEAs E~ENT~ ~ O [' it ~ '~' 'lr u a ~' <br />"' ~ ~ o- ro ~ 'R <br />a ~ ',`J <br />tT ,~ Arv. <br />., ~ y <br />~ r1 .r .. la <br />e ~ o ~, <br /> ~ .. ~ <br />, <br />e .:- J .. ,. ., <br />~ ~ ~ ~ ° .:p w I .~ C I ~^ ~ a ~ ~ ~fy: <br /> .. <br />.a (b <br />b' ~ ~ <br />~ <br />T~ 4 ' . _:.. ' r,.+: •' p~ '~ a <br />.+ ) ~ O <br />~ p_' . T B <br />J. <br />1~ O <br />7 ~ <br />r .. ka `- <br />fi . <br />. I ' ~ <br />i ~ <br />' <br />^ O7 <br />qyp .~ <br />p w O ~ 1 <br />~ fdlAS~E <br />EN <br />r ? <br />' <br />x <br />11 1: <br />01 . . <br />.j { <br />a <br />`~ ~r'I <br />v 5~ <br />^ n <br />.a 3 7i ~i I V } I . <br />~ ';~'. <br /> <br />~ c u c o. B,vyP4J oe ~ ~'' ~ ~ G a c c~ ° ~ ~ .~ ;; ~ <br />~r ~ ~ 1.~' ~ b~ '; ~ o ,; •, <br />~ <br />N 0 I~ABQRE+ ENT? <br />N ? 'i: p :r ~ - ~i r , y; _ u :~ ~ n ~ l ' U_, <br />p <br />' ' <br /> ~ <br />~. <br />' , <br />uO :3 ~ ~ v O BAM E V <br />~ 5 E ~ ~ <br />S YEA <br />EY <br />Y . ~ <br />C < a <br />, fc v. C J ' <br />~ '-'r I~ h G T. r' `^ <br />$ ~ IU O. <br />7 a <br />' ~ r <br />"U O h <br />•il .r <br />. <br />SUR <br />ENT . <br />~' <br />` <br />' p p <br />!' <br />~ ~ :i ~ J <br />' ~[ils : <br />' <br />^ ;. r <br />~~ v ~•I' <br />•~ <br />.O rv P I. <br />JLJ <br />7~ . <br />~' ~A <br />n, , <br />' <br />1~ r. <br />• .a I <br />~ & . ~ . <br />. • <br />''1 cERTIF <br />NAMERITLEP OI At, EXECUTIVE OFFICERn <br />AND AM <br />` r urvdER PENACTY:bF Gw.iHAT I HAVE PERSONALLY E%AMINED <br />ie ?~. ~ <br />FAMILIAR WITH TH\ NF011MAt10 6UBMITTED HERE( A D BASED ~ r~: TELEPHONE' .~; ~ DAT E <br /> <br />• ~ ~+ '~ <br />ON MY 1NpUIRY OF THOSE 1NDI (DUALS IMMEDIATELY RESPLNSIBLE FOp n ~` 1~ ~' <br />ich ~ltkinato8 Iv ~ P Y• p OBTAININD 7HE INFORMATION. I BELIEVE TNfi SUBMITTED INFDRMATIOH ~ - ~ <br />I <br />`p <br />R <br />A <br />R <br />S <br />E <br />C <br />6 COM <br />E <br />1 <br />W <br />E <br />T <br />O _ <br />:: .v r "' r '~: '' <br />• •0 ;: I'• :• ~^ ~j N <br />•i <br />T <br />. <br />CUMTE AN <br />PL <br />TE. <br />1,M1 A <br />AR <br />THA <br />THE <br />E,AR6 SI <br />~ ,. q <br />x~ ; <br />U <br />/~ <br />~ <br />P LG~ 6 gSAV1ZODm9LQHi n' <br />- <br />N <br />1 <br />A <br />L <br />9 t <br />03;- <br />2 <br />-4491 <br />1 <br />~ <br />~ <br />~' <br />y <br />"NEPO <br />BBIBIL~ <br />OF <br />FINEANO MPRi90NMENi.SEE BU.BC.'I:tODUA <br />ND <br />a1P ~S16NATURE OF PRINCIPAL EXECUTIVE <br />i~ U <br />tt 1910 <br />S <br />C <br />P <br />WR <br />mdr <br />Q <br />M <br />1 <br />i <br />l <br />Ji r <br />, <br />4 <br />i ~ - - <br />. <br />. <br />. ( <br />U vA <br />. <br />n <br />el arum ^v <br />M <br />y <br />r <br />vo ro <br />tr <br />0. <br />" TY1+EIl OR PRINTED ,..da.r.dinumArwlroemewQlAerrm amon(A,d J~sraJ OFFICER OR AUTHORIZED AGENT ~NUysER ?' .XEAII <br />... . YD DAY <br />ME ANpER ~ N 110NOFANY~VIOLATIONS(R~/eernWaincMrnnMey <br />..1 ` <br />.. _m- -^ -- - -- --- - - - ' <br />1't U1L G"aXE115E--SCC PU01'NUTE F/ LN THE PERMIT. SET'[LEAPLE SOLIUS '1'FST SE~}UIIiF.U'ONi.7 -1F C= lU-YHF 1n-N.' <br />F.CIP 6YENT CLAIMF.p. IF CLAIM APPitOVEU HY YI~CU, TSS E IRt)N LInIT:i ti+11.L NqT NF: APPL.I~U TO HEPURTBU <br />o J)DU tiD •m~ i I c wHICNYAYNOt~eusEDJ PAGE of <br />• ~ nnrlua in,lt uTn_t:. ~r. <br />