blirq amt l6 dilatant/ell NCI Mal attrel Stale a county of InOX0Ceall0n Dale received sot Tax Dept use 0nbl do Number and steel a PO box Dale of Mcorporegan 12-06-04 Coy State weeds Foreign corporalicns: dale began business in NYS NAICS business code number (from federal return) II address above C