copy of this receipt. SIGNATURE DATE RECEIVED BY R c (1/ f3 5 7 6 07 o3- 3i-0 ss- 6-7ad V> a W54) TWICS41 Or °I 0 ≥ i 000 MA - 2n9O t ,Arlite gym . - it:)-01:7) 138 0 333y CO,. ed • I w y. 4K Marti Dq-20 -or PfilS ...t 4.74,47.0„,s7.7. d04f nres mem EFTA00260869 PALM BEACH POL