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SIGNED <br />J <br />DATE <br />SEND PARTS 1 AND 3 INTACT — PART 3 WILL BE RETURNED WITH REPLY <br />85 93594 <br />STATE OF CALIFORNIA <br />TO: boa-)`"' <br />r <br />SUBJECT: , ` <br />DAT( E <br />MINI-MEMO <br />oq_01EQ_ <br />STD 100.8 9.70) <br />gINVIR"N EryTALMEALT1} <br />(REV. <br />PFR;"}gSERV <br />M . lY^ <br />-45 JAN 19 P <br />E <br />-1Ls�-M:t 5�1 A a <br />A p a ST6QyL.1 <br />7rrt� /)Y►r,X <br />S <br />� <br />S <br />,-A, <br />,z4I <br />1 <br />A Pias-..,�. 1 <br />Y ani,, e�rrr_ �-iPJYet% D�+wv,.�h�ra.. Nm..�- YJc1�lst.e�✓ <br />G <br />RETURN TCSSIGNED <br />ADDRESS <br />PHONE <br />101-91 <br />P <br />L <br />Y <br />SIGNED <br />J <br />DATE <br />SEND PARTS 1 AND 3 INTACT — PART 3 WILL BE RETURNED WITH REPLY <br />85 93594 <br />