Form 167-Rno - Trade Name Registration - J. Kenneth Blackwell Page 2

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J. Kenneth Blackwell
Secretary of State
6.
The nature of business conducted by the registrant under the trade name is (please be specific):
7.
The registrant has been using this trade name since
(SEE INSTRUCTION #3 )
(month, day, year)
This document is signed by the applicant or by
an authorized representative of the applicant.
Signature:
Name:
167-RNO
Page 2 of 2
Version: 7/15/99

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