kaly Exposed Person (PEPY(,/ Yes, describe) O Yes RI No To the best of your knowledge, is the Individual rented to an employee of the DB group?(/ Falai), or Friemiship, desenbe) O Family • FnendsNp El None To the best of your knowledge, k the Individual patty to a non-banking relationship with D

Vendor certifies that the goods, or mama being fumishod water the tema of lists order arc in With deform:tax with the plate and nyvtlicabona kw the Falai to which the peak arc being furnalial 12. VAYM (St the VOA'S iit Tarialled i0 sipt ead have national a lien wleate poor to ma .ing any payment fro

de Typo: Lona USisspenson 0 Debarment legman You— Date --• Permsnert a Mahe_ G. U.S. Cede Vletation Ftequked for 'octane A. 0. F and J (Falai Only) Tide Seaton S Count, Arrest Data 0 SuMect ReSISYKI Arrest 0 Subject Arnold was Armed L Asset A CATS Girds Admin. Do Dater Settee