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oil/JAN. 30. 2007 10:51A*&& CONDOR EARTH TECH NO, 1096 P. 3 fd002 <br /> .y <br /> ylYlC'lT�•! �::: i! LRt�r Rigtfilif Iv,ImAl PNIfl :; <br /> �Ill1�'iCrilie'F} [=rli'1 d11 <br /> ctin lo�� FTERPPIT SR#- i <br /> - <br /> J()13J()13ADDRF-SS:s7 <br /> yr„Grf•-,. GA <br /> C;()fjTt tACT0R$ DECLARATION LL-S—P—) - <br /> at ttla pvavtsron7 of 1✓11.3p1tei�'(c��,•nmencinq Vitt S4tt h 7400}ai 17i;��ialt <br /> i F+a's�4Y 119nShZ Of the SL(el; ?[l m fires i urrd 1f-r 1tgK"jir,frill force and [4�- , <br /> and Exmh°s9'r�tts cD v_and my <br /> 0 _ eii�rt ate: _ <br /> W RKLR;, Cit P ti'S�`iTt DEGLkR.4 <br /> dial' enAy orrpe►ury ane oftho foilotn�ing dvA2'mfh.7ns: (CHECK ONE) <br /> t F�re:fay�i;m url P r o <br /> I <br /> hrair aridMritl mail-#aun cu�ta for h1e c-ftc+rl nc a�Clef4►+orl�f ffurndttct7 flliis p�iE; ed1c r r <br /> �,,y�,erl'trsn 3700[if{zla Lar,or Gv+jc, <br /> +canipeftsakiott'nsurmice"US regraired by Seation 300 of kite Labor Ca fe, <br /> t have-and oilt Its mWful W%ANep <br /> W[rr[!e7r54 l omponantiert tn.-urawcv. <br /> far a Aeriulmft L'` wofkf rwwudl thji'1�emlrt iv L,5f7ed. �+AY <br /> Lay nvmNA� Ole <br /> _ Poi1Gy'Nurratse•-�� sy <br /> Ca�rSer. . <br /> rfnllb Ge of-the Worst tar which this"mif is'x�7ed,i�haA nut Lslnpi[lyr IInly; 3 if i i[7 <br /> I c.14110twiTl'� a subjet to the wocico+s'-L�►rrlpalt: t;an�`"�s raf Ga�iton� + rtd g <br /> bnyrn�flneNo a$tc hccarti 7nrk 3700 of ilia Labor code,I shat' <br /> shc,uid beaoirte&114'- <br /> Dab,: <br /> lr l to the wrurkui"x'curl�>aarrs 'un iirav ions rri, ` <br /> fotti�wi t�n4+i �1ho9e pmirisians. � — — <br /> L� — <br /> _ gn�ur�• ? –f <br /> Primct6 K%mc: <br /> WOW,-F1t1 UPS TO S UL iRlOFtK�T�z'0(yM[,fXSAs1`R C91MR&GT=1S ilC3LAWFUL D DDD rJ�ift��•F�r.F <br /> �jj{ ¢11PLfy4'E:R`«Gt`1PR AL pr-H tSIFS l�Edf3�IL'li_FiPlF5 t)i�TO O�;r}iitt3DREj lrt1 <br /> IF- CsDITIOAI'T4 i71 GO aT op Ot?It�pENsATION,1f,11-RV-:S1'AllORldi~1�s5 l'EC�,Aid�����:� <br /> ($1001DOd1,)r A <br /> €'R�vIT�FI�Fop;Its aa�nah i7otr,OF 7W 1 1�S GD <br /> r •` .� -f''�'�.�-.�.�»_— •__�- - L+{ _731.1- I fxt�G�7 iSCPtI$f:Ct,",�IRboi•i��st5 7' �Vfl�- <br /> �Utr17:l1_.4•ECit14,t 17dfR��"�� r1 � � .� ', 5;, <br /> F �,• ,,,ar-,�i•. ,.:y,�lv�^!;1•�i,Si;r.r:;nrr•'2C'rl• ] 1 <br /> 7 <br /> i <br /> RECEIVED TIDE JAN, 30, 9 01AM <br />