to satisfy Rules 902(11) and 902(13) of the Federal Rules of Evidence. I certify under penalty of perjury that the foregoing is true and correct. Sh"2- /D O2 0 Date 1-77=Ezie r- Signature Printed name A- i--e f n Title situ— or- (T. —4i v.. , Iv-.4 PLEASE RETURN COMPLETED FORM WITH DOCUMEN