' ', �
<br /> , -. . ' '" '__ � li���� C•��nm0��.,�1 `�u,1n� I 1 M,i�,,..�y�.�ro i I n .._ . -
<br /> Th�n STATFIA[NT�n p���a..�nA �o o�.I.ng olLaor lo� I.L�g p..�++un� o hr V�• � ;
<br /> ------------ 1 1-tu�..ro 1 P�rry„oo 1 a"A .�ii��e� e.� � �.v f,l�.�y l)ILrw 'Dn�o I�me nod Fil.np _
<br /> I 1.Do6�aln�ILnN Nn,��o F„a�)n..�i odcbns��osl I I Ull.�n�
<br /> i 1�aa L. VJ�ix�ic•.11 ��,� �Q����f� �
<br /> � �irsTior 13��1c, N.A. I I
<br /> � Rc�u�o 2, �ax 89 17tYi & Faxnvn ..
<br /> Grar..d 7s1��.�, Nr: 68803 p�s�u� pt� 601A? �
<br /> � 506�6n 8733 Fodornl I D No . �7'0259456 __ ' °`�
<br /> SoCit►I Socurlty Na .-
<br /> � � _----- - � g.�1���70 I 3:
<br /> 1„�..�a..�y S�a�on.e � t r l. .._� L •r N. -p. q I � .
<br /> d.ihia��n�nn.on� roln.a�n on��nu� j C � �y�Y,J 7 L�_ 19 711 I
<br /> �L �1�� `a'�7.LS�r OLDo1• F. eA i�t. .t� . _ ._. . . ' .
<br /> F�I��d w��h_ _._ � ..
<br /> S.K1Jn'AMl�untion. Th�onp�ncl hnancinp s�o�om o..�b o�..a a�. �ti obr o q�..•�Deh�n� ���a'�nco�o.l Parry,br.u�n� I,Ununbe. shor�n abo•�,�� ���II eli�c��•e.
<br /> 6.C�Torminatian. Secv�nd pnny nn lonqe� cla�mt � �cru���y ��'•+'e►��^�°1hn L�anc�np ��a�o�„e�.�bear�np IJe n�mbnr •hown obo.e.
<br /> ),Q Aulpnmanh The�ecv�nd pa��Y�s��qhr„nda. �hn I�nun.��g Notamon�bna���g ���s h.,mbe� shown a6o•e�o �he p�operey deocn6ed�n It�m 10 har•
<br /> beon ass��npd�a the ost�pnee whase nama and cAa�e:,f appeon in I�e�+ 10. �
<br /> � 8.��mp�d;„p�f• F�no�c�nn S�atrmon�beor�na I�IC��m6ar shown o�o•o •�amendod o� ser Forth�n Itsm 10.
<br /> 9.O Reloaso. $oc�rnd Pa�ry relnases �he colio�e�o� drt�cr�bed •nl�em 10 from+he I�.�nnc�n9 aratamont b�ar��p �����umber tho�vn abov�.
<br /> 10. .
<br /> 4lu'S� HEs�.� ��l�f) I�Or�'1VJpSt Qll� �N�t� 6�10-1.� �
<br /> FTRI.1. COlIY1t�i� �Z'�Ca _N,�
<br /> �L•.
<br /> No.ol add�rionol Sh���s p��s�nt�d: _ ' -.-
<br /> '' � --- ��- ' N.A. Nearz as.a � - _._..._-
<br /> (forn�eYl� er &zn}c N.A. omaha •'�
<br /> y
<br /> • , --- --- [��, � . ---
<br /> bY: ��="�
<br /> bY� - ----' I coble�l. S�pnatura(aloi Sowrtd Pa ty iesl ��
<br /> S�pnn�u.nlr.l of Pob�orlsllnecr.ssory only�(Itam 8�s app i . .
<br /> ;::,,��� �l► FILING OFFIGER COPY-ALPHAUEI'ItAI ?t
<br /> . . i�•'+i�
<br /> ,
<br /> �
<br /> � �._._.._��_..._._...-�.
<br /> .. , .
<br /> .' ,.{�j7 •.
<br /> .�• '�:
<br /> - - _ ��' ' . _. .. ._"._ _ .:�1.At.- •Fy 1 "
<br /> ' 1' , . . �. : . �1,.��i���,�a y ..
<br /> :. '.; ,., �;``: ' ,;�; ��i;', �� . •.
<br />:<<!,, ,J,, •1, � ,. ..' , ;'ir.-.r ,* 2 a
<br /> . ,�i . , r �.+�' ;tj � .
<br /> , ,.:_ .i. ...:'(i' I . • _ ' _ . .; y ,
<br /> ...�! . - . � � - ��ti i �
<br /> ' . . . - - . - r:!{`S_. 1
<br /> . . ` . , .�.��
<br /> - � . , ., � • 7:��1�.
<br /> � ' i , . .. . , •
<br /> _ • , i , „
<br />' . . e ' ' , " ' • i1 ` ,.,'4v4 ��1 _
<br /> . - ;1 � - � � �.{1.t. ':A -.
<br /> i6iF� ' � f (. . � � �, � - - d•'.'jRU�„'~'.
<br /> .. , r ' _� . - . .. ,. ,i;Y';,y•,,,:�...i_.:-.
<br /> • '�'-',.�-.. �:..'- • ..n�� _
<br /> 1 . .-. . , .
<br />_ ..s. �� . . . . ~.•-.���" 31ID�J�!.
<br /> -`. ... . -. . .. ' ' '_ _�. _. _
<br /> ,. .._...__��. .;.� . ... , ' .� - ' . . . . _.., y,tMMC��N'lR=— —
<br /> .,. . :i,. a r ,
<br />_e' �,.` .. `',,` `,�r,.y-.,���.
<br /> . .� . � i' '1.Th
<br /> < ': .t , �� ' >�'
<br />;J, . . . `;; �`7•.,.✓�. __
<br />__ ' �v'..<�' �w_.�.
<br />-.. „ � ` ' . � . ' - r(; ' _. Sl..,�—.__a.
<br /> 7 ir
<br /> , .��);,i;;,r `�.'."
<br /> . . c:� • ..•`' .
<br /> .R� . �.. . . . .. - ..y; . -:1�1,i�';•.o �x.
<br /> sSG° ' i .. . . . � �rC'' :.; ! .���� ,
<br /> . . , . ::r.t:' � � . 4'�.�..
<br /> , � - �,.}'• �i
<br /> ..� . . � ' , � . ��.
<br />�
<br /> i .. �
<br /> • �
<br /> � _ _ _
<br />
|