ctte 04 Detect IC l:)er. 3. Authorized Signer (Coal •fete the following ml nnatior tor navn author/zed signet) Authorized Signer Name: _I afrrmy L. Epg ir t. et Gander M 21 FD cc.Tinte TWO. Pmegi id .,-,A. Physical (Horne) Address: it.,1/4-nm,X sr -S3, fay, nip. mi Personel Maling Address: -smatem-ibee3- 31