_ • •Fold twice at the peflonation before tear.iniE!! Reaie use caufion when dettchirvj thecierforatetitax bill • DETACH AT tlia PERFORATION: • Eklawnc Scactary OtStaa, 1/13/2004 50600 • Taxc.) Dclawarn Franc.htst 2CO3 Annual Franchitte Tzx Goiania] Bank Fele I XtS•812 . .• 10438 60.00 60.00 • Tilt: I* *J