perjury that the foregoing is true and correct. Executed on $‘12"1 11/ (date) ai.44-1- V. 14-14.44-4.— (signature of declarant) itCaz-v. newts, CAAattaoltiv, fleterdS (name and title of declarant) y(tevt (name of business) 10 EX e e v lak/4•1 (business address) Ancr, 'Ivo I 3 Definitions of ter