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i <br />..... <br />`~'j' ~~C~~~ (\~ EtN#FGRM GON1MfRC1At CODE-FINA~CtNG STATEMfNT ~(,~~~e.1.S.,(~3 <br />Th.s EI~ANC -?~G 57A3~'AEN[',..y,re,e„tea to a P,emx txr er !.m. mr Aaditrmnat himnatq Hate `]-,p'! g3 y _$Sf 6~-0~ ; <br />:~ ~ hu fitu,e pur.rumt. fa thr Gn,Iorw Camm<rrial Code: Sheet:. pr¢seated; 5, ( ttanat).: <br />- IIrbtnrls) (Czst dame F,rsJ nud Addreas(ra): E. xrured Pa>'tq(ies): Name[a) dad Address(es): 4. Fw Frlio; Ofti¢er: Tnae, Date <br />r~ <s~- #i: 1t7 D h r xm., Ftttns otu« <br />gry ~ ' ~ ~ SEARS, ROEBOCK AND CO. <br />1tF0r~~ ~; I4~`F~e ~ ~ 1T5 Conestoga Mall <br />~{#~ !f>1 Grand Island, riebr. 68801 [[ jj () R <br />. '. 73n i'iun<me Sfrarowent Coven'ttir Faltom~inq Tlryes Car Iceme) or Pratxr[q: V ~ rw {/ v ~ ~.~`~' <br />C4'~`.; r.-.x'S, ~' bs..r~~aT ~~, ~+i.`,ghta9R.S4i{ ~" <br />QPioeeedt: [] Praaucts of the Ca-ateral are Also Covtted: G.. Tm De Re<aded ia.Aaal <br />nee Ilaeeq{ettsai <br />7. Deasriptlma of Red Flute. +~' S. Name(s) m! . <br />~ a ~`:.~'" ~! o c:< ~ CL%h .~ ~ ~e r `~~ 1~e>x ~ ~~ n~.a ~ E .7.trt a,~'r E~ . ~ ~)~. <br />O.ua(a): <br />end L.d.~Ye~. <br />~.~ <br />s~~ SEARS,,,AQEd4k~CK .[A,CO. , <br />Hg ~..~dE~~p~ 1r't...~~ Bq ~ / f~~~i <br />'af•` (s).et D~xoe4a) ._~.a 5tptataer at Sere^rd Pertq <br />'[F.JI~fATl9N. STATt711ENT: ]3ie Suwr.t mt 7eeetinat;co of F'manauat is yresented to s Fi-ng OrBrer for fi-ns pttnuant to the Unitas.CamawreratCo&. <br />TAr Sec~ced.Partq rmrries abet the Serared ao tmettar rlarms a see¢Titq ~tttest mnder xhe finaneis5 statement beariag the frk number chews share. <br />Date.: . 16 Rq <br />Sgnat~e of Saluted Pariy <br />' Frltas CY-ar 3a neq©eatea to note fde numhet. date and flour ar fiSn: ae this eopF and relttn <br />to the Mttas 6tiof, ar m, ecttmwlwt~ment. <br /> <br />