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EXHIBIT B <br />NOTE: Effective July 1, 1995, California Small Businesses and California Businesses with 500 <br />employees or less must demonstrate at least $5,000, exclusive of the UST Cleanup Fund, <br />businesses with over 500 employees must demonstrate at least $10,000. (Chap. 6.75 H&SC, <br />Sect. 25299.32) <br />The Chi cial Officer or the owner or operator must sign, under penalty of perjury, a letter worded <br />EXACT ollows or you may complete this letter by filling in the blanks with appropriate information: <br />LETTER FROM CHIEF FINANCIAL OFFICER <br />I am the Chief Financial Officer for MAKE BELIEVE CO.. 123 TANK STREET. <br />(Business name, business address, and correspondence address of owner or operator) <br />This letter is in supporte of the Underground Storage Tank Cleanup Fund to demonstrate <br />financial responsibility t ` corrective action and/or compensating third parties for bodily <br />injury and property damage caused by an unauthorized release of petroleum in the amount of at least <br />$ - 5,000 per occurrence and $ 5,000 annual aggregate coverage. <br />(Dollar Amount) (Dollar Amount) <br />Underground storage tanks at the followlawcAls are assured by this letter: <br />address of <br />MAKE BELIEVE CO.. STATION #2, 789 SITE AVE.. FUND CITY CA 90002 <br />1. Amount of annual aggregate coverage being assured <br />by this letter ..................................................... ... ......... $----5.000 <br />2. Total tangible assets ......................................... $ Asset Figures) <br />3. Total liabilities...................................................................... $ (Liability Figures) <br />zres) <br />4. Tangible net worth (subtract line 3 from line 2. <br />Line 4 must be at least 10 times line 1) ................................. $ (Net Worth Figures) <br />I hereby certify that the wording of this letter is identical to the wordin pec', led in subsection 2808.1(d)(1), <br />Chapter 18, Division 3, Title 23 of the California Code of Regulations°: <br />I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge and <br />belief. <br />Executed at FUND CITY CA <br />(Place of Execution) <br />On JULY 3 1995 a < A <br />(Date) <br />kli�j L—urla <br />(Signature) <br />RHEA CYCLE <br />(Printed Name) <br />OWNER <br />(Title) <br />UST 02FR revised 4/95 <br />