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ved with process in said tate It is requested that a copy of an otice, process plead' p ed hereunder be mailed to me at my residence. Al 71) Siena t Data Date Sionalmee of Witness Witness must be either a partner of the firm, officer of the corporation, branch office manager, or authorized
process in said tate It is requested that a copy of an otice, process plead' d hereunder be mailed to me at my residence. S Cf .( 2 MG Data Siena Date Siena lyre of Witness (Witness must be either a partner of the firm, officer of the corporation, branch office manager, or authorized employe
-Ff by a Governmental *drain. .1.-J istratide Agency or &Nines regulatory agency? (II "Yes; explain-on.Pg.3) . - - If IL Are yOU a Director or Oaten YES SI•OF . of any Corporation? O O . CI —Yes: mini on Pg.)) 12. Co you trade in the YES NO seconixes.Market? -Ter teal Brokerage firm? O
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