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1. AUTRvRRED REPRESeNTATIvE <br />The forvwoirrg is a statement of facts. <br />31. SIGNATURE 3Z. UA -lb: 07/12/1016 <br />��CLI-A�1- <br />JJ. <br />RAMI: AND Hire uF sisi R: Aida M. Curtis, President <br />s 1 ARDAKD FORM j30 iWAM) PAGE 6 <br />