:�� : _ . - -- \�. .- . .
<br /> . � -- - -
<br /> ,
<br /> �;:�.� . �'' . .. .
<br /> ' _ _.i:�-•� . �' _.- ;t•o . ..._ . -_ '-' � ��.. �:` . �i�- _---
<br /> �..r ' • , ..._ "...r, .�..,�,..r.::7a�. _. � .,. . _ _
<br /> ...--_TM_z"r�.'�:...a'�t's_. �c. ' n .. --- .- • . _'. . . _.�. . ._ � , .. . _ : o . t . � _
<br /> 1]C41�lJ1_•��1.'_ _ .. . . '1��� � . -: 4 ' ' i-. —.'
<br /> �_�``-��.�:..�•.-'��:�.`�+�+�-.��.�'� ^`�..�'`t' _ __ i` 1� _
<br /> ��m -- -- --- -- _ ..._ .. . _ .._..._� _ _... ' _ `------ r _
<br /> �'Y"�..�r�,"�'_ -�---•..;_'.Z��-__ __ .: . _ '.. _ __.. � .: ' ' �� - —: . ' . - V -
<br /> _- � �.�._ . •� �.`-s,= .. . _..
<br /> '�..__.,.. ..�;_ .».._ �_... _ '_ v. ° --- - ' -"°
<br />.j _._ -. "�1�i1�!►M�'A�Ya!�+--++--'..i..�-.wNi..:p�,.. _�._�. -.. . _ .'�---�tyz4y°-.au...;�. .�o-n._ .� < - .t--" -. 4-��'v`�--: • + ; _ " '1►
<br /> , �
<br /> -'— ----� �-...c3 - ^---«��_�..�.'�,a-I�����'�f£!!L'���(t��+Ill��Q+lL+QE1t.!��Rt�+���!
<br /> .�:��i���j��•� �
<br />- . n.-�r�,� t�!�:a� �lnt�r.�r n� �P.dP.MAI Y?!1C l.�pl�
<br /> "'-.-.__.�__. .___ O�ltMnrw !�� � �..-�w�ww w��� _.�....�
<br /> �;;it�IG3- -, _ � � - �. Sorin! Number �...,.~..-�.— F'or OptWnrl lle+py Rxc�r��,���rrice �j
<br /> �
<br /> � �
<br /> l�ut�.�Ft�� NC:: �#7�):30e`%1�1 ~-��.���1t��
<br /> --- - Y....�.._..._.�._._.�.�.. . .
<br /> - - _ _ _ _--
<br /> .''
<br /> �.. .. ..._ .�.._,.. �._...,_ . -•-•.. ar
<br /> �! �OVI�d bY N01ti�t1lt ll�itl� 1�:1ii:t� a� 1a,�ia t�t� t��+x �t��r��iit n�vwui�ir �!'
<br /> �`n��a w��r� gNing� nattc+e ttt#t taxoa� (Includin�l Inttr��t�nd psn�ltles�
<br /> IhN,v*�an a�s��wd���In�t t1w�fallawinQ-n�m�d t�xp�yer.Wa h�►vs mad,� �
<br /> t d�m��d �nr (p�y�r�Ntt al lh�� Il�bliky� faut k r�m�ln• unp�ld.Th�raiurR, �
<br /> th+�r� t� � 1Mn fn f�var af tt� Unih�! Stete� on stl pr�p+rty�nd rlpht� to
<br /> �rrapar#y t�+ta+�tnQ ta thts t�xp�yar Mr the amr,unt at theae taxaa, and
<br /> addldon�l��NNcs�Int�rM�t,�nd ca�M th�t n��y�tc�ru�.____�� �
<br /> _ _ __._ .�_��._ -. --
<br /> --_...._..�...,��.
<br /> na�i�:of T�xa�y����NL1Y t�XFi{�Y
<br /> . �
<br /> aooidMac� s 2 x� �u �ou x s� 1�:� . . .
<br /> i3F2AND ISLANp� NE ►�E7E301 ..�
<br />: rf�Ai,!UH'�AN'1' REI.EAS� INPONMATiON: Far each sa��asment Ifstad below,
<br />_ unls�.s notke ot Ifan I��oflled py the date glvor�1�1 coluinn(e),4hls nptlGe 9h�ll, � �
<br />- vn tt�r d+�y trltawl�p e►�ch data, aperata as a cort►t►aata of reto�sa as dr�fined �'
<br />_ in IfiG E32���. --
<br /> __ ___ _.. . — ------- -
<br /> 7�x Perlad - - - - -- Dati of -_. _l��at p�y br Unp�ld B�I� �
<br /> KMd�6'��c ` �ad�d IcMt►�ityk�Numb�r A���s�cmint R*4IiIn� At Ats�t�m�nt
<br /> l���___ [_�.__�b) ���� fa� �e� �n - - -
<br /> --..�—_- .��.. _ .._
<br /> ---
<br /> -_=_..zw4�-- .j--��r33�� -�_ �,:n���d�,�7�.n . �LtT.t�o�Ri nb/i�rlQ1 _����n9C3 _�_. .
<br /> Xl��4Q ii:/;ill�'�� �05-92--57�4 L/2Q/9!. (,lf.,/1�7�/�1 1�iQOo lA , e-
<br /> 1440 1:/:�1/Ei7' w�US--p�-•573a 5/r^.l?/9� Uf�/1S'f�7i. iE,4a.6f� �
<br /> _._.__ _ ... ...;_ _ --. . _. . . ..
<br /> � � - ------= --- -- --- -- - - - -- ----... . ._..... ... __ -
<br /> . . . , r
<br /> . . , r
<br /> �
<br /> , ,, ' 1,
<br /> � . . � � �
<br /> ,�. _-�° ,_...�..� .
<br /> . __ -- - --- _ _..
<br /> .�,��«0 Flfiny R*�is�t�r �af Dred�c • �, '
<br /> • , Ma.l 1 �:qurt�ky,. . 'TOt�I �I'� �.���' "i:,�.b57 �
<br /> :' . � l"ir�,�nd I s 1�nRD,�.: NC dB�Q 1 .
<br /> ;�. ... • ' .•. ' '
<br /> _ __ �.______._����--------- . �
<br /> - - - - -- - - _ . . _ _-�•- --• _ _
<br /> � _ _ . _ --- _ �
<br /> � . �
<br /> � . .t • Q��aha, Pt�� � � . . ,
<br /> ��da nQticM waa pr�p�r�d�tFi�� el�ne�ax�..�.�. �_� .._...__.._. . on thle. `
<br /> i xth Qct.ak�er 9�i i ,,�,
<br /> ..=,_.�,. day of � 19 . '
<br /> ... � �_ " _��..e. � �
<br /> - ___-- --��:_-- ---� .- -- - - - - - =-- ---- __--
<br /> _ �_� -. ��,-,� - ��,
<br /> - _ �
<br /> _� . ,. . _
<br /> •'�r � �..�. .. f�t'YC1�4A� -L7T-i A�4.RCf
<br /> ,T. ___"!�t�k K�l��yy Titlo q7--0!--1241
<br /> tur r� �
<br /> -- �- --�• -____ _ _- - __-- --_ -- --- - - -�- - ---_ --_ _ _ ..--- ---- ------
<br /> (N4Tts C�rlHbat�ol.olflar�uthori:�d by I�w Io uk��cknowl�dym�nts I�po1 a�antl�l to th�v�lldlty oi Ho1k��ol��d�rN'i�w IlM
<br /> R�v.Rul. 71•d01,9�11 •2 C.9.�f00) �
<br /> Part 1 -Kapt�y Recordln�011ic� FG��(YI(G) (Rev 10193)
<br /> .. . . ......... . -� - - - ,..... - -..._- ---__. _
<br /> - -- -----,--;�,. � ,.r.�� .,.:
<br /> . -- .. . ,. . . . ...,. --
<br /> ., : - . ,. .<�y��+:�.�� m'� ,ar�rt�,, }� .;�""��=�z;.
<br /> J�(.� - . '. . . �`� �. : .. - . _�,i( {,�'�`�I�� J �Jn}�(��' _.
<br /> ��..��� � 1( I Ix -� ��!��X�1l.1-)M .n T � ' �• � � 6.y fA�{,#..�" � vR1YLf� -
<br /> `'� ,[1 �1'� � . _ � 1�i+ .
<br /> »M qi -b��y.5���'.� � -ts 7 'S'�'"'c,a,.-.r�:u.a..-._ . rqyNlnw it�,f i.. �"` W i['Si�...:�_..
<br /> Y"!i�'�d�S�m*7�{.L .t 'N:,� '�.rr �mY �.{a � • . , .�,.7� �.d t;�,tit-. j ���n..,� — '__��_-_.
<br /> -. � Si � . . . . . . .
<br /> �t u...� . a:_ � id+�:,P K", r.ti Rki!a 7:. _. •,t' > . _, Z,_}s� ��prj..
<br /> 3 ._ +.- _ f { ....n r, e'��:^:._:..} ' ' ''� .. -� ti�- r-7' QY- -�'��,"� ,— _ -�..
<br /> ��-f`� �"'7'V ' - C� � y�YY!}.,.'.14 j�J3���A�'.[ f�31r'►''•+b{ -�16�'1 }: .
<br /> a�� ` � : � _a.1".-t• ..-.. �� . .� ,-� "i- ��'�.i��-'?'aot -t� q�,,,�e —
<br /> _:���:� ,f � :.- .�;. �:�x,�a {�;; .�;�-, t .�..
<br /> S.F-. tr. , _ H � E�''L.�. �� `L'�'1t4y�"-`�t� -• - : � r - �; .w�n — �-_-
<br /> .�!{ �
<br /> -4' i ..f �J '�( l' � '•/\�r��u�.+.�.1 �,lal�l4lt���. ..( .r - � ��OR- ..
<br /> ,. . IT,"��'.'�`I�r �'{ -•C� L �t �;�'t?, r'i'� f•
<br />-- .. . , i'. ,.�� . -�,.. ._ .. .. .--' .... _ . .,. _.... --.
<br />
|