requirements, and allow the Administrator to review, process and evaluate the claim. If the claim is being presented by a Legal Representative, then the Legal Representative will be responsible for submitting the necessary documentation relating to the represented Claimant. Additional documentation may be requested at t

he hands of and leaving with Susan L. Dawson, whose Title is 5. Registercd Agent. That Susan L. Dawaon stated height had the authority to accept as the Legal Representative for the above listed pawn or entity. That the description of Ore person actually saved is as follows: Gender: Female Race/Slcin: white Hair Deep

ibed in Instruction A above. including. without limitation, an order to release the Specimens to the Clients Legal Representative (or as directed by the Legal Representative) or other individual or entity. Client acknovAedges and agrees that Cryobank will not release the Specimens to We Clients Legal Representative purs

the hands of and leaving with Susan L Dawson, whose Title is 5. Registered Agent. That Susan L Dawson stated he/she had the authority to accept as the Legal Representative for the above listed person or entity. That the description of the person actually served is as follows: Gender Female Race/Skin: white Hair Deep