ࡱ > 9 ; 8 bjbj,(,( / NB NB p p p p p ? A A A A A A , r m p m p p " p p ? ? p F + 0 p D m m 6 :
COPY DECLARATION BY DOCUMENT CUSTODIAN
Date: ____________________________
I, _________________________________, hereby declare that the attached reproduction of __________________________________________ is a copy of the original document in my possession or control.
DETAILS OF ORIGINAL DOCUMENT(S)
Document Number(s)
Date(s) issued
Issued by
Pages attached (excluding any Apostille or Authentications)
Signature of Custodian of Original Document
======================================================================
State of New York )
)ss
County of )
Subscribed and sworn to (or affirmed) before me on this ___ day of __________, 20___,
by _________________________________________, personally known to (or proved to me on the basis of satisfactory evidence to be) the person who appeared before me, and thereby executed same.
___________________________________________
Signature of Notary Public
' a b v 8 9 c d o p E
H
y
úղժ햍vvvkv h hs OJ QJ he hs OJ QJ hT% h 5OJ QJ hT% 5OJ QJ h| 5OJ QJ h hs OJ QJ h 8Y OJ QJ hyV OJ QJ hyV >*OJ QJ hs >*OJ QJ h >*OJ QJ h OJ QJ h Z OJ QJ hs OJ QJ hs 5OJ QJ h q 5OJ QJ ) ( ) M N O 9 : ; R S T c d e o p
@ &d P ^@ gds
@ ^@ gds
@ @ ^@ `gd m$
d ^gd 8Y m$
^gd
gds $a$gds p q "
6
;
H
I
^ _ `
^
gd#a
^gds
@ ^@ gds
@ &d P ^@ gds . :pU / =!"#$% Q H H L Xg( H H ( d h
com.apple.print.PageFormat.FormattingPrinter
com.apple.print.ticket.creator
com.apple.jobticket
com.apple.print.ticket.itemArray
com.apple.print.PageFormat.FormattingPrinter
Brother_MFC_9560CDW
com.apple.print.ticket.stateFlag
0
com.apple.print.PageFormat.PMHorizontalRes
com.apple.print.ticket.creator
com.apple.jobticket
com.apple.print.ticket.itemArray
com.apple.print.PageFormat.PMHorizontalRes
72
com.apple.print.ticket.stateFlag
0
com.apple.print.PageFormat.PMOrientation
com.apple.print.ticket.creator
com.apple.jobticket
com.apple.print.ticket.itemArray
com.apple.print.PageFormat.PMOrientation
1
com.apple.print.ticket.stateFlag
0
com.apple.print.PageFormat.PMScaling
com.apple.print.ticket.creator
com.apple.jobticket
com.apple.print.ticket.itemArray
com.apple.print.PageFormat.PMScaling
1
com.apple.print.ticket.stateFlag
0
com.apple.print.PageFormat.PMVerticalRes
com.apple.print.ticket.creator
com.apple.jobticket
com.apple.print.ticket.itemArray
com.apple.print.PageFormat.PMVerticalRes
72
com.apple.print.ticket.stateFlag
0
com.apple.print.PageFormat.PMVerticalScaling
com.apple.print.ticket.creator
com.apple.jobticket
com.apple.print.ticket.itemArray
com.apple.print.PageFormat.PMVerticalScaling
1
com.apple.print.ticket.stateFlag
0
com.apple.print.subTicket.paper_info_ticket
PMPPDPaperCodeName
com.apple.print.ticket.creator
com.apple.jobticket
com.apple.print.ticket.itemArray
PMPPDPaperCodeName
Letter
com.apple.print.ticket.stateFlag
0
PMPPDTranslationStringPaperName
com.apple.print.ticket.creator
com.apple.jobticket
com.apple.print.ticket.itemArray
PMPPDTranslationStringPaperName
Letter
com.apple.print.ticket.stateFlag
0
PMTiogaPaperName
com.apple.print.ticket.creator
com.apple.jobticket
com.apple.print.ticket.itemArray
PMTiogaPaperName
na-letter
com.apple.print.ticket.stateFlag
0
com.apple.print.PageFormat.PMAdjustedPageRect
com.apple.print.ticket.creator
com.apple.jobticket
com.apple.print.ticket.itemArray
com.apple.print.PageFormat.PMAdjustedPageRect
0
0
768
588
com.apple.print.ticket.stateFlag
0
com.apple.print.PageFormat.PMAdjustedPaperRect
com.apple.print.ticket.creator
com.apple.jobticket
com.apple.print.ticket.itemArray
com.apple.print.PageFormat.PMAdjustedPaperRect
-12
-12
780
600
com.apple.print.ticket.stateFlag
0
com.apple.print.PaperInfo.PMCustomPaper
com.apple.print.ticket.creator
com.apple.jobticket
com.apple.print.ticket.itemArray
com.apple.print.PaperInfo.PMCustomPaper
com.apple.print.ticket.stateFlag
0
com.apple.print.PaperInfo.PMPaperName
com.apple.print.ticket.creator
com.apple.jobticket
com.apple.print.ticket.itemArray
com.apple.print.PaperInfo.PMPaperName
na-letter
com.apple.print.ticket.stateFlag
0
com.apple.print.PaperInfo.PMUnadjustedPageRect
com.apple.print.ticket.creator
com.apple.jobticket
com.apple.print.ticket.itemArray
com.apple.print.PaperInfo.PMUnadjustedPageRect
0
0
768
588
com.apple.print.ticket.stateFlag
0
com.apple.print.PaperInfo.PMUnadjustedPaperRect
com.apple.print.ticket.creator
com.apple.jobticket
com.apple.print.ticket.itemArray
com.apple.print.PaperInfo.PMUnadjustedPaperRect
-12
-12
780
600
com.apple.print.ticket.stateFlag
0
com.apple.print.PaperInfo.ppd.PMPaperName
com.apple.print.ticket.creator
com.apple.jobticket
com.apple.print.ticket.itemArray
com.apple.print.PaperInfo.ppd.PMPaperName
Letter
com.apple.print.ticket.stateFlag
0
com.apple.print.ticket.APIVersion
00.20
com.apple.print.ticket.type
com.apple.print.PaperInfoTicket
com.apple.print.ticket.APIVersion
00.20
com.apple.print.ticket.type
com.apple.print.PageFormatTicket
6 6 6 6 6 6 6 6 6 v v v v v v v v v 6 6 6 6 6 6 > 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 h H 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 2 0 @ P ` p 2 ( 0 @ P ` p 0 @ P ` p 0 @ P ` p 0 @ P ` p 0 @ P ` p 0 @ P ` p 8 X V ~ _HmH nH sH tH @ ` @ N o r m a l CJ _HaJ mH sH tH D A D D e f a u l t P a r a g r a p h F o n t R i R T a b l e N o r m a l 4
l 4 a ( k ( N o L i s t PK ! pO [Content_Types].xmlj0Eжr(] yl#!MB ;.n̨̽\ A1&ҫ
QWKvUbOX#&1`RT9<l#$>r `С-;c=1g~'}xPiB$I O1Êk9IcLHY<;*v7'aE\h >=^,*8q;^*4?Wq{ nԉogAߤ>8f2*<")QHxK
|]Zz)ӁMSm@\&>!7;wP3[EBU`1OC5VD
Xa?p
S4[NS28;Y[,T1|n;+/ʕj\\ ,E:!
t4.T̡ e1
}; [z^pl@ok0e
g@GGHPXNT,مde|*YdT\Y䀰+(T7$ow2缂#G֛ʥ?q NK-/M,WgxFV /FQⷶO&ecx\QLW@H ! +{[|{!KAi
`cm2iU|Y+ ި [[vxrNE3pmR
=Y04,!&0+WC ܃@oOS2'Sٮ05$ɤ]pm3Ft GɄ-!y"ӉV
.
`עv,O.%вKasS ƭvMz`3{9+e@eՔLy7W_Xtl PK !
ѐ ' theme/theme/_rels/themeManager.xml.relsM
0wooӺ&݈Э5
6?$Q
,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{ P8g/ ]QAsم(#L[ PK- ! pO [Content_Types].xmlPK- ! ֧ 6 - _rels/.relsPK- ! ky theme/theme/themeManager.xmlPK- ! !Z! theme/theme/theme1.xmlPK- !
ѐ ' (
theme/theme/_rels/themeManager.xml.relsPK ] #
0 p 8 @ 0 (
B
S ? 8 : - 6 / 5 7 : B G : : : : :
U T% &A 8Y Z yV q #a | s @ 9 9 } 9 9 ` @ U n k n o w n G * T i m e s N e w R o m a n 5 S y m b o l 3 * A r i a l A $ B C a m b r i a M a t h A h bGrgbYG 1 ! 24 K#Q P $P 9 2 ! x x , ( C O P Y C E R T I F I C A T I O N B Y D O C U M E N T C U S T O D I A N D a v i d H e l m a n D a v i d H e l m a n
Oh +'0 0 <
` l x
' , COPY CERTIFICATION BY DOCUMENT CUSTODIAN David Helman Normal.dotm David Helman 16 Microsoft Macintosh Word @ f` @ r+@ f,@ @ +ھ G \ PICTT b H H b
b H H }= b b !! Ƣ Ƣ Ƣ Ƣ Ƣ Ƣ Ƣ Ƣ Ƣ Ƣ Ƣ Ƣ Ƣ Ƣ Ƣd %{{ssw{wwss{{s{wsw{{w{{sw{w{w{s{ws{w{w s{m .ZVF1BR^Z5^JRVZJR-kJRVJRF1JR-kcBJRw=NsBZV11F1F1RVZVNsJRNsJRRJRB1F1Vk wsg9w{o{o{kZkZo{o{wsswso{ss{kZwg9swkZkZwo{g9sw
skZkZwwkZg9swsw Ƣ Ƣ cc^g9{ޭ! g9c^^{{s { Ƣ Ƣ Ƣ Ƣ Ƣe kZ kZZVZV^sRVcVkZVZVg9RVsNsZVZ^ZZkZV^^cVccR^Zo{R] s{so{{wo{wo{g9o{s{wo{o{wso{{o{wo{o{{o{g9{o{so{wws Ƣ ƢO
g9{kZwkZg9kZwkZg9ZkZo{sg9kZo{^kZkZo{g9kZkZg9scwckZwX s"wcsVsg9V^scsckZco{g9ZVg9Vs^cg9^g9g9^kZsg9sg9Zw o{kZ w Ƣ {{{3 NsVJRRJRRRVRg9V^cVRNsNsR' s{{{{{{ Ƣ ƢW #ZF1RNsR^g9JRsRBkZVF1NsF1V=ZJRcBVRVcB=F1JRVRNsRkZQ cVkZkZZ^sZc^ZkZZRZwRc^Zc^R^g9ckZV^g9 Ƣ Ƣ Ƣ Ƣ o{kZ s5 cZcg9g9cZc^cZo{^Z^^g9g9o{3 o{kZg9wg9skZwkZkZo{g9kZo{o{kZs Ƣ Ƣ Ƣ Ƣ kZ s) cZNsZg9^o{Z^g9Z^g9 o{ so{ w Ƣ Ƣ Ƣ Ƣ kZg9g9kZ s! ^VV^R^cZs {swkZ Ƣ Ƣ Ƣ Ƣa ^ckZ
ckZkZg9kZkZg9g9kZkZg9kZg9g9kZ ckZc^kZckZckZg9kZg9g9kZkZg9kZsu 2^ZJRJRRcRNsRRVJRRg9RRNsVVJRVRcRVRsNsNsRNsRRJRg9Ro{RRNsRNsRNsZF1RRV^kZc ss{w{{{w{{wo{{ss{
{{{{{{w{ Ƣ Ƣ Ƣ ƢU ^^kZ ckZg9kZkZ^VckZckZcg9kZ^g9kZcZ^kZg9kZkZckZ sY cVJRNsF1RNsRkZNskZ^^JRNsNsJRNsJRkZNscg9RVNsVJRVcRNs^F1RNs o{ s c ^c^Z^c^c^cZ^^c ^c^Z^cc^c^Z^c^c^ccZ^^c ^c^Z^c^c^c^Z^c^cc Ƣ5 ZZ^Vo{g9^ZZ^cs^g9Rw o{5 kZkZckZwkZwwg9o{g9skZo{w o{ so{s kZZc' o{s{sww w' cZRRVVkZVw kZ wkZ g9 ƢP w{{{{ { {{s{w {w{ 2NsNsBRNsZBJRF1RZJRJRV^JRF1JRJRVg9F1VcJRZg99BNsF1NsNsF1cF1JRF1F1VJRcBJRo{^cg9RVwo{VVkZc^^R 2o{o{kZo{o{kZskZo{o{wkZso{{kZsso{w{so{o{kZwso{swo{wo{kZo{kZo{skZwo{{o{o{o{{wwo{{s{o{o{ss{swo{s w Ƣ ƢQ g9wo{o{so{cwo{so{so{o{so{sso{o{so{g9so{{kZo{{Y ^V wVVg9VccRc^ckZZVVo{g9ckZZo{ccZcVZsckZo{Rs {wcssg9sskZssg9so{g9scskZso{so{kZo{skZskZskZo{g9s o{ss{{w{swo{ w NRRkZVF1kZJRF1NsJRo{Nsg9NsF1RNsJRJRRNsZcNsVRJRJRVRV^RcJRVkZVJRo{JRF1NsJRNsg9VJRRcVJRJRF1NsJRJRRg9NsJRNsNsJRg9^F1kZcJRRcNsVJRRJRRo{7 {{{{ { {{{ w) JRNsJRVRNsNsR^NsNsRF1 Ƣ Ƣ Ƣ Ƣ Ƣ Ƣ Ƣ? g9co{kZso{so{ccg9kZo{o{s^kZg9g9kZs w= ^RJRNsBNsNsRkZNsg9VJRNsBVg9^^JRRNss o{{{ Ƣ Ƣ Ƣ Ƣ Ƣ Ƣ Ƣ Ƣ Ƣ Ƣ Ƣ Ƣ Ƣ Ƣ Ƣ Ƣ w
՜. +,0 h p |
' ) COPY CERTIFICATION BY DOCUMENT CUSTODIAN Title
! " # $ % ' ( ) * + , - . / 1 2 3 4 5 6 7 : R o o t E n t r y F < 1 T a b l e W o r d D o c u m e n t / S u m m a r y I n f o r m a t i o n ( & D D o c u m e n t S u m m a r y I n f o r m a t i o n 8 0 C o m p O b j ` F Microsoft Word 97-2004 Document NB6W Word.Document.8