la Ceo of dvklaids or Mandl " 9 Payer made dna Weser 10 Crop 111Suor108 FoX6606 $5.000ce ecre d cad Crochlds to a toys (redpbre) forma ih K $ IS ExCen gOkkn ceraCreste 14 Gross proceeds pall to papeeMs an attorney $ 16 State In milted 7 State!Payets mete no. For Privacy Act and Paperviork Reduction