0`11 -#%- CA/ - .806st- (d) Check County Where Action Arose. 1>IIA511 D s DT 1 Mon ROI II. BASIS OF JURISDICTION wise an - X (Jnc Box Only) II I U.S. Mos crtunent ,/1I Federal Question Plaintilf ICS Gosemment Not a Party) ET 2 U.S. llostnuncnt Defendant s 4. Dluye D PALM BEACH nat. 4 Divers