(itanA. * A 1 i - I . 31a. PageNunther 3,1f. 1WtNtintber 3i,e, I 34. 4.d. Page-Number 4.b, Part blumber 4A Item:Number 5.a. Page Number 5.b. IPartNumber, Le. Item Number I. 6.a. 1.'40:Number 64 Part lumfler 6.c. Item Number 74. Form I-765 12/26/19 RONIMEMOIStiftifttliSMUMIIIII Page 7 of 7 EFT