Electronic Filing Of Transfer Agent Forms - Securities And Exchange Commission Page 79
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10012(b)(iv).State or Country
12(b)(v).Postal Code
SIGNATURE: The registrant submitting this Form and its attachments and the
person executing it represent that it and all materials filed in
connection with it contain a true, correct and complete statement
of all required information. Registrant also consents to make the
books and records it is required to preserve by Rules 17Ad-6 and
17Ad-7 under the Securities Exchange Act of 1934 (17 CFR
240.17Ad-6 and 240.17Ad-7) available for examination by
authorized representatives of the Commission during the period
the rules require registrant to preserve such books and records
and authorizes the person having custody of such books and
records to make them available to such representatives.
13(a).Signature of Official responsible for Form:
13(b).Telephone number:
13(d).Date signed
13(c).Title of Signing Officer:
(Month/Day/Year):
79
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