tions: Prlor sddreasas, ciphers 614, which may assiat Uia FB In (ocating tho naquested invormadion} Thereby walve my dghtao privacy, and | authorize tha PUI to release any and all Information rateting to me to: 4 (Rame, edidorse.& phone of attorney Of citer deslanes} ' 53 P Plaza), Shite a Boston MA O2Z