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i <br /> i K � yJr <br /> underground Storage Tank Cleanup Fuad <br /> LETTER OF COMMITMENT INFORMATION <br /> CLAIMANT <br /> CLAIM NO. .21) 9Q --RANDOM NO. �PRIORITY CLASS <br /> ADDRESS CHANGE Yes__--No TAX ID#VERIFICATION <br /> List new address. __.. <br /> WILL DOCUMENTS REQUIRE,D AS PROOF OF PAYMENT SHOW CLAIMANT <br /> PAID CLEANUP COSTS? Yee Nc If NO,please explain. <br /> 3 <br /> THE FUND HAS A PAYMENT COMPUTER DISK AVAILABLE IN A SPREADSNEET <br /> FORMAT. TIIE SOF'T'WARE IS LOTUS 1-2-3 DESIGNED FOR IBM COMPATIBLE <br /> COMPUTERS(NO-MACINTOSH). 'WOULD YOU LIKE TO USE THE DISK?' <br /> _Yes _N I o (This disk is to be used as a template and you should download the appropriate <br /> version of the spreadsheet to your hard drive.) <br /> COMMENTS- , <br /> Claims Revic*er <br /> Date <br /> i <br /> Zea 0t7Z'ON 8276179b60ZT6 QNn3 dnNd9IO isn V17:IT L6/60/iB0 <br />