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ope of their report should one be used in your particular case. Signature Date New York/Atlanta/Boston/Chicago Dallas/Los Angeles/San Francisco Amsterdam/Geneva/Pans EFTA00187061 STOCK EXCHANGE FIRM EMPLOYEE INFORMATION RECORD ITo be completed upon acceptance of employment) Please answer all quest
s.) Mavis Lewis Recorder EFTA00187076 **PLEASE CHECK EACH WHEN COMPLETED** NAME ,c"? DATE OF EMPLOYMENT APPLICATION /c' Type "PCA" (one for Payrol l , one dupl icate SENT 416 RECD /if Bonding Appl ication /Or Stock Exchange Form Security Accounts form Fair Credit form Locator Card Benefit
their report should one be used in your particular case. Signature Date rf, New York/Atlanta/Boston/Chicago Dallas/Los Angeles/San Francisco Amsterdam/Geneva/Patis SDNY_GM_02770729 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00257537 EFTA01337181 STOCK EXCHANGE FIRM EMP
00257552 EFTA01337196 **PLEASE CHECK EACH WHEN COMPLETED** NAME .4 . DATE OF EMPLOYMENT ag-/.6-- 76 ) APPLICATION /4.4/ Type "PCA" (one for Payrol l , one dupl icate SENT 3f (6 RECD /4f Bonding Appl ication /i4 Stock Exchange Form /Li Security Accounts form /4 r Fair Credit form /..4e Loc
l one? "I\ GENERAL REMARKS: Name: Title: Signature: Date: Pononz (10/75) New York/Atlanta/Boston/Chicago Dallas/Los Angeles/San Francisco Amsterdam/Geneva/Paris EFTA01700864 Bear, Steams & Co. 55 Water Street New York, N.Y. 10041 (212) 952-5000 WRITER'S DIRECT DIAL NUMBER Cooper Union 4t
ecorder EFTA01700866 **PLEASE CHECK EACH WHEN COMPLETED** NAME t7 • DATE OF EMPLOYMENT S —Ar" 76 APPLICATION • /tits/ Type "PCA" (one for Payrol l , one dupl icate SENT 4/ to REC'D /t% Bonding Appl ication /i-"I Stock Exchange Form /ti Security Accounts form Fair Credit form Locator C
Entities connected to both Amsterdam and Payrol l

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Michael Douglas
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