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98-05022
" ," .. " , ' . '" ' , '- ." .Jt.~. '." ..... . ........ 't' 't' '.. ...... ..... '.. ...... 't' '.' 't' '.' ',' 't' ',j,,' '.' 't' '\ '..' ....... . ...... -. '.' '.' "t" ,i.., ,'...... ',......... - .'~ ,,""-< .~\._.:.'_.. :~T~~.~'~~_',_tt..~' _:_\~',#~_~~...'~!~~.:'.,!:',,"~.f:. ~~~"",\ .: .~"~':. _':_~' ..': ,~'. _~,_~'_.. '., '~ _.~'~.", ":. .<.. ~. ,<,.', :':',~' .,"'!:'~', :,':!!':, \'~~.~..'.'., \. ...._J.~..! .. ~":"~._.'~~.', -,~ ,~ ~ ~ i' ~ " ,A ,,~ t, ~ ~ It! " ;t.1 ',' ~ "~ I,' ~ M !t> ',' ,', ~ !t> ',' ,', :r, ~ M i', ~ ~ -,f ~ ~ \,1, !t> ~,I ,', ~ ~, ',' $ "' ' ~I ' ~.; ~ " ~ "1,1 ~ '.. I\OV, J!.. 1\/l'~'oN I 1.'1.II.\.n\:.I,I!f! II II' N ( ), ,,,,,,,,,,!I,I!,~~O 2 ,2,,,~~,1:~,:il 'I'n 1:111 II I I II " ~ M ,', ~I *' '" r.< ~ ,'I * '" iT' $ ~ ~ I,~ $ ~ ',I ~ 1,1 I,' ~, Itl ~Ii ~ i. ,', ~ ~ ~ ',' , ~' t,~ ,', ~ " ~ ~ I,~ ~ 't ~ ~' " ~ ',' ~ ',' ~ ',' ~ :.' ~' I,' ,', ~ . . n V'!' I,n',~ C, II II I')),' / / ~ ~' " (~/,' I ;/)r:., ~,,:; ^Ii";i,ldlf:/.,,,,~:J )4''1./0/: /;~:I'~;"I,'~;" ,I. l~ , ~ ~,~:,' , ';'J; -' V ,," (] '7/ ., , ~ 't"/f'r1IU I- ,,,~t,~ ''7-I'~f.iitl\flIlIlI~Il';' ~i ~, '" ,)~: !.t.:;",i.::,'~:.:;':~~::" :i;:;'*; ;~+..'" .:+:. .'.:.i.... ~.:' '-.:+:~ ';:+:. ~ .r.i.' '~:..:;' :~.:' ',:.:.' .:+:. .:+:. .~.:,' or.:. ',:.:,' .r.i. '.r..:: ':6~' .:tj: ,;1.:' .t.:. .:+:. ':.:' ':.:~' Vlll'H\lH ......, 11.1\ H 11 1\ tl II. 1<, (l1l'I'ON / (Jpi!nndfll1t: DECREE IN D I VORCE ~ ,', ,', ~ ,,. ANP NOW, ,," , " ,,' ",::I:rl.<l"'~;~'" ,-0, l,~" 19, p,~", It Ie ordered cmd d d II HOY I. Ml'I'()N '. ,lit Iff ; acree 10,1; . , I ' , , , . , , , ! , I , , , , , . , , , , I , , , , , , , . , , . . , , I , I , '.'.', , , t I 'J _ q '1 I ond "',", ,1~i\ll.l11)1,\(\"I\, ,J.\fl,'l~ql~l, , , , , , , , , , , , , , , , , " , , , , , , ' , , , " qefendont, ore divorced from the bonds' of matrimony, The court rotolne jurisdiction of the following claims which hove boen rolsed of recordJn this action fol' which q flnol order hqs not yet been entered I ~ ~' i ~ ~11 ~ ',' ,;, f' ,', ~ NONI'I ",,;, '" I'" t. I" """"""""""""" '0"" '.,"""" """, I"'" 1\." I ""." " """"""",, '1_""" t I " ""," '" ," ""., , I " HClY l. MI'l'ON, IN '1'1111 ('Ol1/n f)/<'CoMMON PI,IIAR CIJMIWI~I.ANI) COIJN'I'Y, PIINNHYI,VANI^ Plnlntlf'f' No, ()H.~022 l'Ivil 'I'llI'm nAI~Il^I{^ l\., AHTON, /)lllondn11l /)IVllHCII AJ.t'.ElllAYITJ}II' cONsleN'I' " I. 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IrmlRmlllftl form 10 010 ppnw~\\c Hlllnll\ln~ arnOIl, ~, If YOI\ ohuoso IOI1l0KO poymo1\IR vln on Illlloll'ol1lo fll1lels 1\'I1\\sI'0l', InRlf\lollolIs I\\l1y,lw , ' , 1'0CjllllSlocl 1'1'01111110 fjol1los0o HlllIlII01\R Offloo, ,. ~ \ nY'I'Im'COIJlt'I'1 ,I' " ,. .~ , ,H.mG\c Dolo of Ordon l)coomber 7.9, 1990 'I DHO I H. ,J. S\)/.lC1tlny 001 ~laf:ol1cllll1t (Jo\"J.....:. I!\n,~ihd \~\ \)\l..D IIl\?,].) \'l'd , I' " " Servlcl; Typo M I'I~pe '101' " . \1orm llN.o28 Worker lJ) $ Il\'rT I, " " ,. '" 1'1' 'I " 'P , " t';j Hi I' " 'I, " " I' ',. \~ ~ , i.y, " , I' " \1 I' ..:( , I , I I I .1 I'll; Ii I I,!: , I I , " , :,:il" . :', ,do;! 1.1: J " r", ; C) II' e) " ('Ii' I( 'I ;,. " Ii " I' Iii Ii, ,. " ',1, ,1, j' ,. ,\ \, '1' ',\ I, ii ,. " " " ;' "i; " " I' " ., ;' " IWf l, fl!3WOl'l PM~SHS tvlVll11'vr N\llIllwl'l 01l;3+00096 CllrlC.K~ SHOUI,P Hl~.l MAPll \lAY AIll,11 '1'01 pOM~S'I'IC IUl\!II'I'ION8 !lIlC'l'ION ANP SnNT TO TIIIl POMHHTIC In!I~ATIPNS SHCT10N ATI .. " p,p, 110'i 320, PA\\I~ISI.II, \lA, 170P " PA YMllNTS MUST INC1LUPll Tllll PllFIlNPANT'S NAMll ANP '1'1 III PACSns MBMlmH IP OH SOCIAL SncUI~ITY NVMIlIlHIN oHPllH TO IlH pl\ocnSsnp, po NOT SIlNP CASlllW MAil., , '1'1118 or(\~r of 1.11\11011111011\ for s\lPPl11'I' Is hhl(I\\l1! \lp\1\1 YOII 111I111Iill'llwl' 1101lpp III\CI sllIIlI,l1nvo prlorlly \1V\lI' I1I1Y 111\11011111011\, 1ll\llollll\1l1. I!lImlsl111101l\ 01'. WIII!O IIthlollll1\lI1\llIIdol' 811110 PI' I\lplll ' IIIII' o'loopl oliO rpllllll1l! 10 II prior slIpport orclol', YOII 1111181001\111101\00 IIw 1lIIIlOI111WI1t PI' Iho .' ' elofol1ell1\1lol>lIl!ol"s hwonwliS sOOI1liS pos811>Io 1>11\.110 111101' Ihlll1 fO\ll'loO\\(lIIYs rrol\11ho ,chllO or OW1SSIIII1100 of Il1ls()rdol' or AIIIIOl1l110111. YOlllIl'O 1\oUflod fill'll1lll' 111111 pmslIl\nllO llMI 1, Tho c1ol'oncllll1l obligor 110s 1>0011 nollflQc\ 1111111111 or.dor of 1II\1I0hlll1ll1t 1111' SlIppOl't WOllld bo h8110cl, 2, Wllllill fllllmo 10 oOl11ply wllh this ordol' \110Y I'll SlI II 111 (I) your 1>01118 IIctludgod 111 oonlompl of Cpllrllllld oommlllod 10 JIII\ .or flllOd by 111000111'11 (II) YOIlI' twll1l! hold 11111>10 1'01' IIl1y " OI11Olml.llot whl1holc\ 01' wl1l\bolel bll\ nol rOI'Wllrdod10 Iho 1)0\11oslIo Hollltlol1s Socllolllllnd ,(lIll nl\llol1lllol1l Of YOI1I' filmls 01' proporly, " ~, TlwII1111ohlll0111of ltlool110 or tl10 posslbllllY thoroof I1S 11 hllSls, 111 wholo 01' In Pllrtl fOI'.iho dlsohnl'l!o of 1111 omployoo 01' nlly dlsolplll1l1t)' nollol1l1snltlsl 01' dOI1WIIOI\ of 1111 omployoo Is pl'ohlbllod, VlolllUOl1lllllY 1'0sI111111 (I) your bolns n(\Il1dgod 111 oOl1lol1lpt lllld oommluodlo JIII\ or fll10d by 1110 OlJ\1t'llIl1<1 (II) 1111 11011011 Ilsnlllsl YOII hy 1I;0 olllpl~yoo for dOlllngos, " l'ngo 2 nr 4 JlnrIl1IlN-02R Wlll'kOI'!l) $IIIT'l' sorvlco Typo M ROY X, flB'rpw PM1SllS MUIl1I'~1' N\lllIlwl'l 0163100096 4, If \lWI'O mo In YI1I1I' Omph1)'l11on101l1l01' 111.01'1lllcllllllolllll Ol11plOYllllS wiloSIlI1WllI110S nl'll slIh]oollo Uw Orclol' \If 1110 Coll1'lol' Cpl11n\on PllllIS of aUNIJlqn,l\tlP CPllIllY for IIl1l1cl1nwnlof sIIPPOI'I, YPIII1\IIY 1l01l1\JIIlII Uw nl!lwl1lnol11 PllynWllls 111.10 1\ slnglo . pnym011l 'P 1110 1)0nws\lo Hlllllllol1s 'Roll\lonllllel soplIl'lMI)' 1<lonllfy 1110 ponlollll\\l'l\ll1ll1\llo \\I\lool1 O\ll\gPI', 5; YOlll1111sl noUfy 1110 DpII11lSIIo Holllllons Sllllllon wlWllllw doflllHllIll1 ohllgol' 10n11lllnlos . onipll1ymonlllml pl'ovldllll1o 80011011 wlll1lho 11ll1plpyOll'S 11IsI klloWIlI\<I<ll'oss 1111<1 tl10 I1l\mo nn<III<,ldross orlllo now ol11ployol', If known, " 6, Tho ml1l\111111111 omOlm\ of 1110 1I11110111\10nt sl1nll no\ ollooocl 60 % \If 1110 oll1ployoo's 1I01lnOOHlo wl1lol1 18w\1hln tho limits solin Ihll CC1\lS11l1101' Cl'odll 111'(110011011 Act, IS U,S,C, ~1673, " 7, Tho lorn) "llIc0I110" liS c1oflllod hy IIIIV hHll11dos 001\1pOllsllllon for SOl'vloos, Inchldillg, hnl 1I0t Ihnllod 10, IVngos, slIlnl'los, foos, C01\1pOn8nUolI In kind, o01\1mlsslolls IIn<\ slmllnr lIol11s\11I001110 dOl'lvod froll1 hnslnossl Rnlns dorl\'\1d from clOllllllgs In pl'<l)lIlI'IYlllltOI'OSI\ rOIl\S\ roYlll\los, dlvl<londs, IInnll\1los\ IIIC0l110 1'1'01\1 111'0 Inslll'nnllo IIn<1 otl<lolV1l10nl oonll'lIolsllll1 I' o 1'11\ s of rOUrll11l01111 ponslons; Incomo from dlscl\l\l'go of Inclohlodnossl dlstrlhntlve shol'o of Plll'll'Ol'shlp gro~1I11lcomo1111001110 In I'llspoolof II docodon\llllcoll1l' from nn hHorost 1111111 oslnlo 01' Irns\l mllllllry 1'0tll'01110nl hOllofllSll'lIlIl'OlId <111lp10Y11101l1 ro\lrol11ol1t honofils, soellll soelll'lly hOl1oflts\ 10l1lpo1'n1'Y IInd pOrlnlU\onl dlsllhlllly hOl1ofllsl WOl'kol"s cOl1lponsntlon nnd llIlOl1lploy1\10nl COl1lpollsnlloll, " I'lIgu 3 (If" l'nrlllllN.02R Wnrkul' m $11\'1'1' Survlcu Typu 11 m lCl' F', :1. 1;': (<; .. f'i ~IL' en ';';',1:( tj: I,: -."' " '.:", ~J. ,I, ("l, .. (',I " filii 0-1 j, ' (\: "r .' Wi' dlil} l'" r,!)I,\", I,: ..L~ ~. 1:1' I i ') en \. , " '~H " " \; " .. J iI " " H " " I'" ," .," , I;, ," " " ",n " " " " " " " '," " " " " " " , " , ' ;-, , " " ," " d;,. , " " 'j; ".. " I' ('i ", I' " III Ih~ Onlll'lnl' Clllll11\11II I'I\lIl~ nl' C\1~m'~H"1\I'1P CII\l"I~'1 1'\lI1I1S~'I\'IlI1'" I 1l11~\\':SIW 11\':H'I'lllNS SI,:r'l'\IlN 11,11, ll~ ,\lO, C,'IIII,ISI.I':, 1',1, 7111.\ PhllllPI (717114Q-fi12~ 1I11~' (717) 24{l-fiHII pol'm1\llIl1\ Nlil1WI !lOY 1, M'roN Momhpl' IP NIII11\lUI'I Ol!i3100096 "I~iiW IIIII~I ,III \'lrn"'I"IIIII'III'I' 11111\1 1111'111111' 1111' ~11'1II\1,'1' III N'11I1\1'\'I', llUllIm '1'().YM2t\'I',~ A'1"I'A(mMllli'I' (W UNI~MJlWVl\llil.'1TJlilliliErrS E1llUUcluWuulILUUlIlLlIt:.AllllllllllLCillil1llILaUllclUlUllll I'lnlnllfI'N"Ill~ IIMUMII 'k, 110,\,011' "I\CSI!S ,1-.. ~ .\ h't't;v 4"'100441 ~~::~l~,~lr 911..(iO?il <:v A1l~\11ll1l!llLAUllllIi1lLl'Jl!lIU\!llI!t i 143,00/~\"N'l'1I ~ I.' ~ ~ I ~ I ,. .. '1'11'1',11, ,\'I'I',\rll~II':1\'1' Mlll\lNTI ~ 0,00 Tlw prhll'Ol'dol' of this COIl1'I cllroCltll11! Iho J)opllrll1lPnt of 1"lIbOl' IInd ll\(hlslry, HI\I'IlJ\\1 of UllPll1ployl11on\ CllInpol\Sllllol\ 1l0110flls IInd Allownnoos <HUCllA>, to IIlInoh$ 0,00. " I 'or 50 % POI',WOOK of tho Unomploymont CnmponslltlOll bonllfils of IIOV 1, IIS'fON ,Soollll Sool\l'lty NUll1bol' 106-46.0369, Momhol' llJ NUll1hol' 0163100096 Is 110l'oby VIIOIlIOd, '1'1118 Ol'clol' (0 Vncoto shllll ho ot't'octlvo Upol1 I'ooolpt of 1110 l1oUOO of 1110 Ordol' hy tho \)opllrtmoUIIII1c1 8h1llll'01110111111 ofroclul1l11n fmthol' Ol'clol' of tho COUl't Is filod, i, HYTHE COURT J)nloof 01'(10\'1 Ilhl'ch (I, 2(XlI IIUDGI~ r>Q01W! NUIVlco 'I'Y)lo M .' ' () J/1Ii:JiILY'" Jlllrll111N.O)5 \Vllfkof III $111T'f I,. , , P~P~K/NPTI~I: Tn WITI!.IIPW 'N~DIv\J: I'PII SlJI'I")IIT , /'lIe (. (h:'. ).(!,I l (.I / / ( SIAIII J:(lIl1I11(llllvpnlll1.IlLl!ul1ll~V.lv.nllln, '/,?I(Ie,;, '(, (1', ',I ! ( ,t, ,,/(/1 ,CII,/Cl\y/PlsI, p( gllM11Illlf,IINP . I." ')' ',,' ,. PII\P o( Onlor/Nollql .Q1/.02/01 I?I<. ,\ ~ ( 1(/ COlln/CllS0 N\IIl1llpr (S1111 AllflNll/lI1II Illr r,m' ,\'I"'W"lr)'i O!IIIi!I",iI(li1h1[iN"IIIU o AUlI'l1,h1l1!11,1<'1/Null,,' @. 111111I111"1,, I Hdu,/Nulli I' r""l'lill'I"I\Yllh""hlul', rl1lI"',III'IN NIlIlll.', I::QI"l,Mllll Ii1lWIIVM'l!'lO 1I1'I,I"I',"lWllh""I<I"I'. N,III1!' li.-1!.IlMMillLl211 [ll1l'h>Y"llWllh""liI",'. ^,liI'''11 PIl,l,SUllillLHl. 1?019-9IiH ____ I Hh 1\S'l'ON , HOY I, ____~------_....,' I ['''1'111\'''1'/0101111'1/'1 N,i1ul' 11,'1.1, I'll'!, Mil ' . ) .llHil;:.U:Jllli...--._-- ------ ) [IIII' "\,,,,'iol,III1"'" SIIrl,,1 S"<:\III1I' Ntllul," I 0153100096 ,) [11I1'1111'1"7<)101111\11" 1',I,ulduUIIlIi'i -- ) (,~l'l'. Mi/I'II,/i"" lilT III,I/lli/II "'lIIlrIIIHlIl!!![!'i/II'UII 1',"~1 il/I.!!lli!I'II!t[!;II0 I l'i1.IIIill,lll"H1'III" N,U1I" 11.,'.1, 1'1,,1, Mil I Sw Arlfll'mllllll (fir f/l'lHlmlllll' ,"111I11,\,11/11 /IIrl/l fl,lll1$ ,lWlr!I1!Pt! 11'11I11',151'1 fl/l ,1(ltlrlflllll//l, QIIP/;II/NI'OI\MAT/ONI Tl1ls Is Wl0rrlm/N 0\1 co 10 Wlll1holrlll1wlllP (ur 511pporl hllsnrlllpon III10relor fOlsllpporl (rol11 OIlMlllllIl,lINP COlll1ly, COl11nllll1Wllllllh of I'onmylv~nlil, Ily lilli', 1'0llilrollHllilrmllu elo\l!lrlllHlsll 11I1\011l11S (rol11lllP IIhnvP'l1mnud ol11p!oyou'>lohllllor's Incul1\ulll1l11 flll1l1\ll nollco 111'011 If Iho ordur/Nollco Is nol IsslIml \ly yom 51111p, $ 0 , 00 pUllI1on\h 111 clm0l11 slIpporl $ ___ 0 ,00 pur 1I10111h In pOS\'IIIlU SIIPPIllI $ ,. 0,00 por 111011\h 1I11110011cIII Slip port $ -.JL.oJl.pur m011111 (or llul1ullc lus\ clIsls $ pur mOl1lh In olhur (spllclfyl for ill\lllillo( $ ~ ,00 IJIlr I11ll11\h 10 ho forWMlhl\1 In pilYIlll hulow, YOllllo'I101 hovu III vorl' YOllr poy cyelo \0 bo 111 compllom:u wllh Ihll slIpporl Illdor, I( YOllr PAY cyclo elons l1oll11oldi Ihu ordorod SIIPllllrt pilymol1l cYClojllSU \hu followlnlllo 11!1\or1ll11111 how milCh 10 wllhholdl ' $ 0,00 pur woukly PilI' purlml, $ , 0 ,Mpor Illwuukly PIIY purlml (uvury Iwo wuuksl. $ 0,00 pOl' sumlmonlhly PAY porlmlllwlcu 0 nHlI1lhl, $ 0,00 PUI mOl1lhly 110y purlml, III'M/T1ANCI'INI'OIlIv/IITIONI " Ylllll11l1Sllllllll11 wllhhollllnlll1o lolor IIH1I11hu flrsl PIlY porlod occllITlnlllun (10) WPlkll11l dilYs IIflor Iho dolo of Ihls ' OldprlNollco, 5011r1 pllymol1l wllhll1 SUYUI1 (7l wmklnu dill'.S of II", pOl'dll1l1/dillu of wllllhuldll1ll, VIlU iII'll ul1l1l1oel 10 ,doducll1 (00 10 dufmy thu cosl of wllllholdll1l1, I~ufor 10 Iho lows 1I0v(lll1111111ho work 511110 o( ymlr ulllplol'o(1 (or Ihu 11111 i1llowoblo ilmollnl, Tho \0101 wllhhold omounlj oml your fou, cilnnolllxcood 55"1" Ilf Ihll omplol'oujs/ obllllor's illllllllllolu 1I1sposobhl wuukly 0011111185, I'm Iho 11I1I1HIS(I of Ihlllllllllilllol1lln wllhholdlnll, Ihu followlnlllnfo[l1li\llon Is noodod (500 119 on Pll, 2), If r0I11I1111111 hI' i:n/i:PI, pluoso cl1l1l'ol1l1sylVilnlo 511110 Collllcllons mId Dlsburslll110nl UI1I1 (~CPUl I:mployul' CuslQll10r Slllvlco ilI1.0n.f17f1.U5110 for Ins\lllcllon5, Milleo Itomlttill1cO l'ilYilblo tllll'A SCDU 50111\ choc\( tOII'ol1hsylvilnfil seou, 1',0. llme c.!J112, Hnrr!shllrll, l'iI ltlOMl112 IN tiPPIT/ON, /'A YMtNTS MUST INCLUDE TI/I' /lEl'tNOANT'S NAMt ANI) HIE I'ACSI:S MEMI//!l11/l IS/luII'/I ,1bIlVO ,'5 /lID tlll/llu)'oo/Obllsor'5 CMO !rIc/ltlflori OR SOCIA L SI:CIlR/TY NUMIIl'H IN OR/)/'H TO lIE f'RoctsSt/l, DO NDT SENO CI\5II UY MAIL, .' 1J1I01 'I.JrH1VjU,;Y' ;, "",._;\.:,::,:i;\':J~:k'l XcI (CO) line ,...,.._~::K'?L.---- r() . A rill filS 12 \Wllks or IIllll1tlll'l Ol'ns @ 110 J., " IIY rln: cOUfm Dilln of Ordon ., ~~\rch Cl, 2<X1I .1UIXJI~ 1:01'111 EN.0211 Worker Ii) $IM'T "" /I.~, SOIylcll Typo M (lMfI Nn,1 fIIJ7o.nl'\.! 11pll'lIunll~11l: 'J/~ l/{lll I; I' " ,,' i '11 , I hi I I I ,I i" " n " I' " ii, " i, " /.' " i " i, " " i, " , 1 Ii " , \, , . " "til .-" " " ,1; " " H Ii i' " ;j, " " d' ".f' , "~ "0 " {)v,~)li,-(I.'" " 'i i, " " i' '" Ii I, h , " " , 11'1' " " " " " !; " I' Ii , i ". i' J. ,,' Ii " " " Ii c ." ~T i, , , APllITIPNAI.INI:PRMt\TloN HlI'MI'\,pnRS ANfl PTln'R WITltltQI.lll:RS , 1:1 I( I'hl'I'~\I11 YII".III' 1\'1111111111111 I'IIIViIlII II "'1'\' II[ Ihls ("1111 ICJ \'0111 1I11ll'loY!!I" 1, ' I'IIoillYI Wllhhol,llIlII IIl1dllr 11111 Ordllr/Nollit\ h,l. I'rlCJllIy OVIlI 'IIII' olh,'I lI'II,III"Il'.'II" 111111111 5",IIlI,I\\' 11110111\.1 II'" Sill1111 1111011I1" I'II'hl",llil~ 1111'11'1 III o [(Ill I 1"1[01.11 11":1'11'1 (I( Ihll oldl'l 11011'11 PllollIy, II 11I1l11l '1111 1'1Idlll,III'I~ IiII'III, 10 II (fill 1 pll!'ISII 1'01I1'II'llhll 1'!l11111I111I1I ,111111\1\' 1I.II.d 1,,1I11\\', ~. 2, 1:111111'11111111 i',IYIIIIlIIIII 1'011 1',111 1'01111111111 Wllllhllld ,IIIWIIIIIS (11"111110"'111,1111111111111\1*'\'11111011111101',1111011111 111,1'11111111 1',1\'11111111 III !hll'h .III!!IIIY 11111111"11111\ \l'111I1I(lldllll1' 1'01111I11.1, hll\\'I'1'1I1, \llp,,,,IIIII\' 1I11111t1f\' 1IIIll'OlllOll o( 1111\ .llIlllIl i"IYII"'llIlIhll I, "lIdl1l1l"I1I,"lo 11011'11 l'IIII'II'\'I!I./CJllIlIlol, " :1.' Illli'(ltlIIIIII!m i'l\ydillll/Pillll (I( Wllhhol,IIIIII' 1'01111111'1 l\ll'orl IIII' l'iIYdolll,/clillll (I(\\'lIhlloldllllll\'hllll ""\lIIlIlI'lhO'I'.I\'III11111; II", 1',ly,II\III/dl\lll (I( wllhholrllllll II Ihll dlll~ U1nvhlrll ill111>1I111 11',,1 wllllhlllrl (roll1lhtl 111"1'11'\'1111" \\'Hllllr 1'01111I11\1 1'011I1'h' willi 1110 1,111' o( Ihll .101111 (I( 11\11 IIl11ploY"II's/(l11lllI(ll'S pllllrll"ll ploll'll (I( IIllploYI"'"1 II'llh IIlSPll! I 10 II", 1111111 I'"lllllls wllhlll II'lIhll YOII IIIl1sl llI1pllllllllllllhll " \l'llhholdlllll IIldll' ",1,1II,("IWllllllhll ,"PPOIII",YI\I'"I', 4.' 1:1111'10\'1111/01,111101 \\'lIh Mlllllp'III SlIl1llCllll'IIIldlllllS' I( IIUlIII Is 1I1011lIh'"1 Oil" O"IIII/Nllllrll 10 Wllhhol" III' 01\111(01 5111'ptlll " ,t!l!IIII'IIIIII 1l1ll"loYllp/ollllllol ,lI\dyoil 'HI> 1111,1 'Ill 10 hOllol "II "11'111111 (JlclPI/NolkllS 11111I 10 l'OllllliilClI 51'1111 11'1111 ho I" IlIlI /"11111, \'OIlIlIlISI ((1110\1' 11I01,IW o( Iho ~"Iili o( oIllI'IIIYOOj,!pbllllol'l 1',1111'11',11 1'1'11:11 o( "111,,10\'11111111. 1'11111111111 hlllll'I ,ill (,)1I1"I,/Nllllros 11I11I1l illllllillsl .. 1l~IIIIII 1'0s,lhlll, (SOil 119 billow) , 5, 101111111,IIIIlII Nollfll'illlolll \'IHI 1111111 1'101111'111' III'"(\, Ihll lI"III111'"lll1/IIlIlIII\, \\'1I1l1l11111 ol1lplo\'llll/oI1II1IOII. 1IIIIoIIllllI \\'1I"illlll (Ill YIIII, I'lllillll I''''VIIIII Ihll III(IlIIlHlllolI '"11I1"SI"11 '"11111l111111 'I "'''\' o( III" Dlllol/NolIl'olo 1111I 1I1l1l1l1'\' 1""1111111'" hlllo\\', Wl'IllI'IOLP~II'5 IPI ~UO'lll)OOl'1 1'~II'I,OY!:l:'5/(JIII,lqOIl'5 N/IMtl lIB'l'OlL_llQL1., I'MI'I.OYIJI!'S CASI' IPI:NTIFIIJIII 8153100096 Pt\T~ 01' SI'I'AIIATlClN: I,AS'!' KNOWNllPMl' APfJlll'sSI NI:W J:MI'I.OYtll'5.NAMI'/APPIWSS: 6, 1,111111' 5111111'''\'1II01lIsl YIlIIIII,IY I", 10'1111/011 /0 11l1'011 ,lIlcl wllllllold ((('111 1111111' '"111 P,1\'1I11111I' SI((:II ,Ii 11IlIIIISlts, 1'011111111,10111, or IllVlll,IIIl'lll'ilY, I( YOII 1I"1'1l "IIY <llIllSllol1\ .lbll\I,1 IIl1l1p '"111 "il\,O!III1I'j \:(I1I"11:llhll 1'"1\011 '" ,111111"'11)' billow, 7, 1.I.lbllllYI If yo', 1 (0111 III \\'lIlIholcl 1I1\:(111111 ,IS Ih" Oldlll'/Nolll'1l dillll'/s, Y"II ilfll 1I'lblll (Ill' blllll IIIIl oIl'nlllllll"IOcl iillllHlII1 \'1111 ,1I111l111 11il1'1l Wllhhlll,l (10111 IIIIl 1l1l11i1l1yoo/obllllol'S 1111111110.11111'011101' Pllll"llIos IIlI by 1'1l1l1l.yll"lIllil 51.,/0 I"\\,, i'1lI11I'ylv,IIII,1 51,,111 III\\' 1I01'I'IIIS 1I1110's Iho ol'1/1l1l1 II 11l1ll'loyml III '"I1'llIoI.~",IIl, III wllldl "",olhll I'lli' o( IlIll 5"llllllI whll'lI ho 01 shols IlIlIploYlld /l01'"1l1l, ,0, AIIII'd"rrlllllll'1I111111 1'011 nlll SlIb/ol'/ III ., (1110 cIlllllllllllclllll""r SloIlol",v (or clIS<lHIIIlIII/l,1I1 Ill1lplll\'oo/llbll/lor ((0111 011lp11lY11l01l1, lO(lIslllllllI olllI'IIIY, (If Inlllll/l dIM,lpllll'''Y ,11:11011 ,I/I,IIIISI IIIIY Ol1lplOYllll/obl/llor IlIlI',,"S11Il( ,I '"1'1'011 11'111111011111111, . l'olllls\'II'<1Illn. 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