Document Date
Meeting Description
Document Type
Meeting Date
Page Number
102
A-3.4
Respectfully submitted:
397 Whrtpur bus Noeboabore NY 03254
Signature " Address
Presiden? Treasurer Coop xb, AY/7
Being duly sworn, deposes and says that he is
Dadian. M., Erte.
Pre sidan. t [ptesurece of Ele Gri oat Tasty lohos, jre- ELE
ame of Organization)
and that the answers to the foregoing questions and all statements contained therein are true and
correct,
Sworn to before me this © ~ _ day of OeGobe- ,20 177
MICHELE F. NEAR, Notary PubligNowry Public
My Commission Expires August 14, 2018
My commission expires
(Seal - If BID is by Corporation)
ATTEST;: COE LED V frase # ASSP See v
oo
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