1:1 .34. A/ft—,4..e zmqvc/ti.ith.frisi 'Sew ra* I (...n L/1 1 is I candy Rion Dat M statements made by me on this lam are true. ( / %ran Pape Taal 1K-- .5. b l? Amount Forward <>9. 6 i ii3451-11 el, 3 3 k 11. Total to Date M-5". 6 k -vi 5-55/1 `i 5 3 3 11"1- EFTA00151074 EFTA001510

0 C- PP/G-C- Re:PO6Z rep TO tNS u a /* N C-- Co Ai i I leanly P eas Signature three. statements made by me on pis form are true. 7,;( at) Pape Taal % 6 43 i Amount Forward boa ./ aDtr 1 o-TliDei 1250 i) Total to Date siy:59, to Confidential-Produced Pursuant to Fed. R. EFTA00154092 o Ni