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nalize of vendors Authorizing Official Name & Title of Authorizing Official Please Return or Fax to: U.S Attorney's Office Southern District of Flonda 99 NE 4 street Suite 200 Miami, FL. 33132 Attention. Fax Number The Debt Collection mprovement Ad of 1996 requires that payments made by the Fed
Signature of Vendor's Authonzing Mina' Name & Title of Authorizing Official Please Return or Fax to: U S Attorney's Office Southern District of Fonda 99 NE 4 street Suite 200 Miami, FL. 33132 Attention- Fax Number The Debt Collection Improvement Act of 1996 requires that payments made by the Fe
SECTION A - AtHITORIZATTON AND PURCHASE ORDER (to becompleted by the requesongofficial) ITEM 4 - Elea the name and mailing address of the Manua/ OW !Salta bengrequestol to Cornish financial ante/meiion ITEM 5 - Dia the name and *adieu to which the finance, informal ion is to be sent by the financial in
nd a HEN-111 ODWAO*COOE .? AVFRAGE `-' eciavion cep( litHeveTWIGODC AIMS 1304AVIOACOM AVERAGE BEHAVOR COOt AVEPAGE _AVTRAGE IMIkete: Fonda (PI amen Pi) e SiAnnin acme ISEI ind,rate: Proroio (P/ Retain IR: SATiymi Svice1 WI YYNNIN PromosPI /Man pia . Surname StheolISS) hda lt
NA*PR •••..•••••••••••••• ti...••••••• TON SCONE • /0. 413 ••• em••• gob. • TOTE -Com 'EWE KtAU Q3 69 „ertolP Q4 77 READ MATH V0€A READ Salta MATH ii" UIMP I i t :TOTE AIN ATH LAMB LAMO S ENCE STUD CI-. 79 Q4 39 Q2 .• aa,••• one " "neEAD..'0 'OIL (hp P • A'MATH Ote TOIL M
the Inni of to stamens is not tla ~oaf 54.~. MIS Fonda Stokes caries ph acatret as dearkg broker by av
urity, indudng reinvested dodends. The cost basis may reed to te alusred for return d capital payments in order to determine the aciusted cost 1,391 Salta( reporting purposes. 250.003.00 limeaffeci itsidgam or loss is the dfference between t he current value and the coo basis and wooed generally be
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