on the r•Wri•Or in•Chments hereto of P n 43 Of Me U.S. Federal redeem Regulations and mat the InformatIon nowledgo. / Data • December 12,1991 Sigraturo of Authorized Individual ....e---- I Mena for To Sen4oe ~yam to the authority give person specified below. the ern{ riddled In item 4 was Infp•CtId in the manner aresal