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<br />TIle ....1UbaIi1DIIa tbiI .... ........or OM or mare of i1I om... ~ .....vea. <br />...... ~ ....~ '~ or.... who an IGti've ill the ....~.... ",tbe atity. or an <br />diIiate of_..,,,, .... ..... with IDd ooavicted of a public .tity ctDt'.~ to July 1. 1989. <br /> <br />The IIItity IUbaaiaiDa tbilswom _-. or ODe or mare of i1I ~ direoIDn. ...outives. <br />...... .......... ....-, ...... or..... an ,actiw ill die II!~"" or_ ..,. or an <br />aI1liate .,tbelDlity hat NeD.... witJuad ~ ofa pubJiolllltity CriDt Iu~ to 1u1y I. 1989. <br />JIowMr, tha... .. al1i1llequebt ~i_1MllbN 1lBeariD8 0Iicer 01......01... DiviIioa of <br />~s.rMa-1Dd tIlerDlll Order ....by1he....'~ of""S. otJloricfa. DiviIioD of <br />~...... the "DIll Order........ by the s.riDj otIcet '........... it _ aot in the <br />public ....10 place "DUty aubmittiDa dUa swom.....t OIl the convicted ~ lilt (Attacb a copy <br />of the &ul order.) " <br /> <br />,. r t:JMDI!UlAtmlBIuicS~'0Jf1WP01tMron.r~1.h..c) ~ft)1l Ilk. <br />PUBLIC J!N'I'.t'11'JI)Etda'IW IN' PA:lAQltAPlU (ONE) AB,()\$JS P'OR,1llAT~llN11TYom.X ~. <br />mATTJDSfOIMJS VAUD '1'HIlOlQJ;~,3,1.'~~AIi'''IN~:~J:I''~~~' <br />I ALSO UNDERSTANDTBAT I AM'~TO'~ T8B PVBUC ENTl1'Y PR1OKTO~"AlNG <br />INTO A CONTUCT IN EXC!SS OF THE '1BRESIIOLD AMOlJNT P1tOVJDaD IN SBCnON2I1.017. lII.oltW~ <br />STATtJ'l'BS. POll CATEOOR.Y TWO OF ANY, CRANGI! IN THE INFORMADON CONTAJNED IN THIS PORM. <br /> <br />00456 - 3 <br />