Form X-17a-5 - Focus Report (United States Securities And Exchange Commission) Page 2
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30FOR SEC USE ONLY
TO BE COMPLETED WITH THE ANNUAL AUDIT REPORT ONLY:
CERTIFIED PUBLIC ACCOUNTANT whose opinion is contained in this report:
____________________________________________________________________________________________________________ 70
((Name) If Individual, give last, first, middle name)
____________________________________________________________________________________________________________ 71
((Address) DO NOT USE P.O. Box No.)
__________________________________________ 72________________________________ 73 ____________________________ 74
(City)
(State)
(Zip Code)
DO NOT WRITE UNDER THIS LINE
FOR SEC USE ONLY
WORK LOCATION
50
REPORT DATE (MM/DD/YYYY)
51
DOC. SEQ. NO.
52
CARD
53
SEC 2430 (2-02) Page 2 of 28
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