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06/17/2010 14:54 FAX <br />Q0002/0002 <br />AtITIIORMATION TO "PEAR ON. BEHALF OF A PARTY <br />(Please Type Or Print the Requesbod l aftmadon) <br />SIGNATUMS MUST HE IN BLUE Ra <br />I <br />0 (parswe name) (title, if applicable) <br />Of (name of company, associations organization, cbc. if applicable) <br />hereb3r ddtg,acte to &o o <br />or ea?ity's name) <br />n f <br />tb a right to appear on behalf of R,,, at the Pro-bmiag oonfare m <br />(company, aww on, oMMMadion, ate.) <br />SIGNED AND DATED THIS DAY OF Sa r•/1z,' l 6 <br />. If Corporate Meat (seal) <br />A Signabare (must be elVed #n blue [ntc) <br />Title <br />Stow Of (Al SG 6n *S/ q <br />county of Do ) <br />The forgah* iummum was admowledgcd before me this 1 day of J Uti `<-- ?b ! U <br />by , P 5 ,J 3 Aw as of Lt/! 5? ?"? h <br />SIGNATURE MUST BE IN BLUE INK <br />11