Data Time 199 EFTA00061363 i Niiiiipoitinet—errire-aos I Center O ffkial Cont Slip osi t /lam Timme: 47: COWD: Print ?Wilt: Slenatarc: Print Nato Signature: 1--__ I Metropolitan Centeno I Cower I ...„....., Official Count Slip r Unit: ..s.r....., Zrl>, ... D Count: 1% al ` Imp