d Eintcm's background by both Sow and Federal law enforcement 'omelet, and idler due tenni:tenon with do State Ammons Office, that the interests of the United Sines, the State of Florida, and the Defendant soil) be sewed by the following proodum, THEREFORE, on the authority of It. Alexander Acosta, United Slate

T1F1CA710N ... .. INiE CERTIFY: . (I) That the shove aircraft b owned by the undo signed applIcant, who is a citizen (Including corporations) of the United Sines. .. Wog voting nun. give name of ray " ) or . / cHeCK ONE AS APPROPRIATE; . . • s.„ 0 A resident *ben, with Ma. neistneen Tarn 1.151 or For