Charges be alal (continued) 5009 Call Detail Tine Phone ole/ Winu Airtime la TC101 IDA* I humler Numb °Manahan Type knedleS Charges Adckonal Charges I Charges 22 WI 4:56 P u 3.0 MOWS 0.0) OW A WI 400 P ~h. Ft 1.0 1x~ 0.40 000 24 WI 6G PM 4.0 Waded OW 0.0) 25 WI 5:

ount #: Name. 2 UHknatB Benefciaiv Infamation: Beneiiciaiv Name: Account Name: Account#: Q Please deliver the secunties indicated below to: Adckonal InstnCDOns: DTCC#: Name of Receivino Finn: OiaJc Q Issue a check m the amount of Reapient's Name: Radfient's Mailng Addrats: Account Name; p