|
*T ` � ^
<br /> ST�TE OF --....=�.e�r-�`'a �--�-� On tltis-- -2.�;;�� ...._da�: of-...__��i��J� ___ _ _. ig.... �� bc�for<°
<br /> }ss. �
<br /> --�------Tiu�-�-.......................Count�� � �ne, the undersig�ied a _�'otar�� Public. dt{I�• convnissio�:c�d arid qt{alifiFd for
<br /> • . T .r_ -�. . . T
<br /> t�i �aid cotrntt', /'ersonallt' �a�rt��....1vc2..C....J.....1.:,.-..'.:�'-.::.S...�`;(�...�1..E.'�,rt....._.. ...
<br /> _ .
<br /> `' 1:iI75 �_ @8C�": �, } 1� ........r-@'-' �J';.,, Y,�4+�� �.-:1 =z::
<br /> _ .
<br /> . ,;�, . ..,, _ . _. ... GZ' _
<br /> ...
<br /> ,�.;, • . � - -
<br /> ,;••' �.jy�' ,,,� � ����.�,.,� �„a �,:ife .
<br /> : . �' - - _ .. ..
<br /> �. ........, ,r - _ .... .. _- - _
<br /> ���Z�•'F N E ft�' �'° ��'..
<br /> �_L�%� e �i'•,.is to nr�° I:no,�•ri to be th� idtnt<<<,f �:r•sar: or- fifr�c>;_ t�•l�oc<- �ta»te is or �i,.��;�°s are
<br /> � :7-: '. � =
<br /> �>:� . �J t97D.�1� - aL�_r��l fo thc for�goirrg in.s.'riu;:��itt end ar�r..�,�:��:'n<'a .'�:�' <..�•ctt!:n�t .+h<-r �„ ;n ���
<br /> � � (.4/ M'. : IOM ' ' --
<br /> �BC
<br /> .-�;�.�, t>i s,!-i;� = his, her or th�ir uohvitar�� act_r�r�d d<<°d.
<br /> � �j���.',�.�;�:�'�ti�� !f itn.�'ss �i:_ ha�id and \n�:ti� S��! d:: td_: 'ar la�t r.1�o��� ..•ri!.c>t.
<br /> :-F:; or ra�-C
<br /> '-�;.;�. ,...�
<br /> ,
<br /> --:tsrry,irt:t��'�" ..... _'. . .. .. . ... . . . . ....___._✓�Olc.Y"�; I'�i],��7C
<br /> ---.
<br /> .11� Conrntissio�i ��.rriro-�s thi---...'.'-_':,`;.da)� of-- _...4�__�...- ___.._..__. ig.::.� -. -
<br /> (�
<br /> ST:1TL GF - .... . . - .. ...1 (?�z tl:i�._ . ..__...._ . _ _da�: oi._._ _.___ _ __ _. _ _ . .. 19..___ _. b�?cr��
<br /> }ss. � � �
<br /> � ,;.. . � � � �,,:,�:. . , _ .
<br /> -....._.._-�-- -- -- - � --��otn:.'�� r;:�. .,.� .rrt�.+�rs�gn�_t a .A'o:'::r•�: f ,. ,.
<br /> --- ,� c: . �c;;t;;;:sstor._d cr,il ou,t:!n�d tor
<br /> in s:.i:: c �ar:;�r. ,^crson.�ilit r,:n:� _ _. _.. ___ ____.. ......_ __ _._ ..__ _ ___. ..
<br /> _...._.._ _._. .. ...............__. _.. _ _ . .__._ .. _ __. ___. _ . .._.....
<br /> _... .. __ _ _ _..._._ ........ .... ....__.. _.. _........ _... ._- __ .___......... .. __ _ ..
<br /> !o ,,.� ':t:c�.�'�: io �� th� iil�r.ria:l �cr;on or f�crcons :cho;<' t:�:;r.� ;s or t;::;;::c ,:r�
<br /> � ti,:c�? ;c t;:� ,"crrro:n, :,._.. ..�,:<'nt cnd cc�:nu�c�(:dr,« '__ �.:cct�!:��ri !l:�r:-,� fo :<
<br /> his, ktr or tJ:air ��olivitarti� act �:nd da�d.
<br /> l;�ihiess rriti• ha�td and .A-ot�;rial S<<r! tl;r� :, �vid �� �i:�� ;�rst a?�oc� :��rittc�i.
<br /> _....._...__ ... ._.......____..__ --- --\�otcr�� Pi�bl:c
<br /> 1!; Co;;:n:i�sion c.x�f�ir�s fh�°. _.- _._ _da�' or.__........_ _ ......_.._._.. .. :�._- .._.
<br /> �
<br /> �
<br /> �
<br /> a>
<br /> �, w � � : SC Q
<br /> �' � �� w, �,
<br /> h � � � 'u\ ; � � � =
<br /> ��� �� Q r� :� S-i � z
<br /> ' � ,.,,3 N° � a. i Q � c
<br /> � �N �: :�� ( `c
<br /> (� �: � eq'rz �: N :y� �n I -
<br /> W Oi o ��o I; o � 'r'
<br /> mi C� `� � o :4, v
<br /> A ? � rvi b O� �i � ^� y o
<br /> o%; t7 U: ; ,� � U1; cs N p� ^�
<br /> � � � �; n �i �� �d �: �
<br /> i`,. O "-I� ? O a� �,: M; d a�� b:3 � 'c�i a
<br /> � "rG; � � �: c�; ��o �; ,° '� 7
<br />. r�. ,� �y ,�: cQ c: ar cd; '�m � � �,
<br /> o-� U ^-i? �' •� �;: �,: ��� ° � a
<br /> � +-E �i W; .n' � �c' ' `
<br /> H �f � n�; 2 a�� ? c7� V � �
<br /> � •� �-f a# o,i �; r-i; !Z'� • ; °i -
<br /> O' h. 3 � �; : '� �C ° o .� � c�
<br /> W , ° ; �, ` ,�
<br /> U' • �� � x' � '� c� � � � W
<br /> cdi �„`' �u Syi o m 'n x d o
<br /> qfi cif �i o i w � •� ,� � . y i � �.
<br /> �' � � r-i: � 'D
<br /> � �-a �,' G�.; � w o .�; � S ,� �J F �
<br /> � :o
<br />� . . . . � , � . i � o , . Cd
<br /> S
<br />
|