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r <br /> w <br /> 2575 Country Club Blvd. <br /> Stockton, CA 95204 <br /> 1 certify under penalty of law that this document and all attachments were prepared under my <br /> direction or supervision in accordance with a system designed to assure that qualified personnel <br /> properly gather and evaluate the information submitted Based on my inquiry of the person or <br /> persons who manage the system,or those persons directly responsible for gathering the snformation, <br /> the information submitted is, to the best of my knowledge and belief, true, accurate, and complete <br /> I am aware that there are significant penalties for submitting false information, including the <br /> possibility of fine and imprisonment for knowing violations <br /> CORPORATE O ICER <br /> PRINT N <br /> Sr' n v/)V-",.) Irl ane t � <br /> TITLE <br /> to g X03 <br /> DATE <br /> i <br />