for this? , Pe:ddenthil Adii, .457 Madison Avenue LL ty:* Nevi York state:. N Y Zip Code:. 10022 (You nkst De a U. 5, resident to app4o, No P. 0, Bares Mew) Datt. of Birch: .01 i .20 i 1953 (*NOW YYYY) 1„4004r' Moiden Hama:. 'Stolotsky E-rn rkahn@nysg aii Addrew nntal Hotnonold Income . $ 999999 00 (