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HomeMy WebLinkAboutLittle B's BBQ (Airport Auto Show) - 8/15/201927, -77 3 yrr / FOR BOARD OF HEALTH USE ONLY Date Received Permit Fee Approved By F Temporary Food Establishment Perm i pl!cation (Application must be submitted at least 7 business days before the_planned open 1) Establishment Name: Establishment Address: Establishment Mailing Address (if different): Establishment Telephone No: �rLiG f '0 WT 2) Applicant/Owner Name & Title: ' r A W `fi �,` ' rl Applicant/OwnerAddress: 5Y" C-- Applicant/Owner Telephone No: Applicant/Owner ApplicantlOwner Email address: ,x1p cc&..Title: P n 3) Person In Charge of Onsite Operations QSS t �•� r 5 (�, PIC Address: PIC Telephone No: (� . Sad-'- `�� �- Emergency/onsite Telephone No: PIC Email Address: j e 0j(F, 'j 4) Event Attending: } KG L& Date(s):Ru o l Event Name: ock SJaoA3 Event Location: Event time: 5) Check VFoodruckr o Other: 6) Solid waste disposal plan: 7) Water So( f t HL � 8) Sewage disposal plan: (, l� r I r1Q 9 ) Please give a brief description of the food to be served: 5vn , Food Protection Questionnaire for Catered Events Date of Event:, Location of Event: List all foods that you will be chilling, holding, cooking, and/or re -heating at the event location: �O,n ice/Refrigerated Cooking Reheati 1� YL Food Manager Certification Person Trained On Site? es o No Allergen Awareness Menu Label Present? es o No L' all Potentially Hazardous Food (PHF) and the individual intended temperature required: at C List r ired temperatur/ee for each food as it leaves your preparation site: K 6s o How will the PHF be kept at or below 41 °F? 5 How will the PHF be kept at or above 140°F? S Time of PHF? Setup Served � Removed Please describe hwashin d sanitizing supplies that will be.T9Jrovided on site:7.0 List all equipment that will be supplied for an event, including but not limited to food thermometers, cleaning wipes, utensils, non -latex gloves, heatin utensils, ice etc. ro(eidn A Ln kmJs � -t � �iJClYt S �3 � 10 ) Food will be prepared: o Onsite for immediate consumption .. �- nsite and held at proper hot/ cold holding temperatures �ffsite and held at proper hot/ cold holding temperatures O Offsite, cooled and reheated on site E3 Other: 11) If PHF is being served, please list the person who has completed the following trainings and attach appropriate certificates: ('� I l\ri�CSun Food Safety Manage ie51,rl •C I -S J Allergen Awareness: i J 12) Please describe on site hand washing facilities that will be utilized: 13) Please list all sanitizing solutions that I G�fo � will be on site: d 5/ V hcL � '��s 14) If applicable, please describe your FOG management plan or attach the written plan: Ct-� OL(i o,4i ' a a�C r v b �R M?s . 15) For caterers: Cityrrown where food establishment permit is held. Please attach a copy of the caterer's permit: For food trucks, please list additional communities where a food permit is held and attach copies of the Base of Operations or Commissary permi I, the undersigned, attest to the accuracy of the information provided in this application and I affirm that the food establishment operation willcompl 05 CMR 590.000 and all other applicable law. I have been instructed by the board of health on how tai- co ies of 105 CMR 590.000 and the federal Food Code. 19) Signature of Applicant: Pursuant to MGL Ch. 62C, sec. 49A, I certify under the penalties of perjury that I, to my best knowledge and belief, have filed all state tax returns and paid state taxes required under law. 20) Social Security Number or Federal ID: o''� d' J I L 2 �j 21) Signature of Individual or Corporate Nam TAX CERTIFICATION FORM I certify under the penalties of perjury that I, to my best knowledge and belief, have filed all state tax returns and paid all state taxes required under law. of Individual or Corporate Name By: Corporate Officer (Mandator), if Applicable) G3�i.5�. 3S 33 "Social Security No. (Voluntary) or Federal Identification Number *This license will not be issued unless this certification clause is signed by the applicant. ** Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Licensees who fail to correct their non -filing or delinquency will be subject to license suspension or revocation. This request is made under the authority of Massachusetts General Law Chapter 62C, section 49A. The Commonwealth oj'Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Informationn Please Print Legibly Business/Organization Name:, � �! 1715 6,;o City/State/Zip: Phone #:y Are you an employer? Check the appropriate box: Business Type (required): 1. ❑ I am a employer with employees (full and/ 5. ❑ Retail ssrport-time).* 6. F]Restaurant/Bar/Eating Establishment 2. I am a sole proprietor or partnership and have no 7, E] Office and/or Sales (incl. real estate, auto, etc.) employees working for me in any capacity. [No workers' comp. insurance required] 8. ❑ Non-profit 3. F1 We are a corporation and its officers have exercised 9. ❑ Entertainment their right of exemption per c. 152, § 1(4), and we have 10.❑ Manufacturing no employees. [No workers' comp. insurance required]** 4. ❑ We are a non-profit organization, staffed by volunteers, 11.❑ Health C / L with no employees. [No workers' comp. insurance req.] 12.❑ Other �� L *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. **If the corporate officers have exempted themselves, but the corporation has other employees, a workers' compensation policy is required and such an organization should check box # 1. lam an employer that is provi4ing wgrkers' cornpelisatipp insurance for my employees. Below is the policy information. Insurance Company Name: Insurer's Address: City/State/Zip: /CO as Policy # or Self -ins. Lic. # V oc 'I IJ -4) I I —(. v L—/ 1 Expiration Date: YlVd 0 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereb rjy, nder the pains and penalties ofperjury that the information provid above is true and correct Signs e: p Dater l�/� 9 Phone #: 1VI'soZr1 �7�5 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Licensing Board 5. Selectmen's Office 6. Other Contact Person: Phone #: 9 O w in Z C0 U) W J Q U) ♦ ) W N N O N CN N r .s Payment 4eceipt CETT , City of Providence, RI $183.28 Paid via Credit Card ending in 7434 Thanks for using the Online Service Center Jessica D'Alessandro Apply for Other Licenses #19-813 April 23, 2019 Food $110.00 Mobile Vendor License $67.00 Processing Fee $6.28 Total Paid $183.28 Powered by the ViewPoint Cloud platform Receipt number #29608 LITTLE B'S BBQ LLC 224 W GREENVILLE RD SCITUATE, RI 028571112 State of Rhode Island and Providence Plantations DIVISION OF TAXATION LICENSE FEE: $10.00 ID: 2-0949-4044 ISSUED TO: LITTLE B'S BBQ LLC 224 W GREENVILLE RD SCITUATE, RI 02857-1112 M DATE ISSUED: 06/27/2019 RETAIL SALES PERMIT Valid From: 07/01/2019 to 06/30/2020 This permit, which authorizes the holder to collect the salestuse tax, is not assignable and is valid only for the person in whose name it is issued and for the transaction of business at the place designated. When the holder of this permit ceases to conduct the business for which it is issued at the place named, the permit must be returned to the Tax Administrator for cancellation. The ID for this place of business. Do not use this number to file returns. Every holder of a Retail Sales Permit issued pursuant to R.I. Gen. Laws § 44-19-1 shall keep complete and accurate records of every sales transaction. These records shall be made available for examination, inspection, and copying by agents of the Division of Taxation as required by R.I. Gen. Laws § 44-19-27 and 280 -RI CR -20-70-12. The failure to maintain or prod ace ran aired records can result in the THIS PERMIT MUST AT ALL TIMES BE PROMINENTLY /S� DISPLAYED AT THE LOCATION a FOR WHICH IT IS ISSUED. TAX ADMIINISTRATOR State of Rhode Island and Providence Plantations Phone: (401) 574-8955 Division of Taxation 17. O TTY Via 711 One Capitol Hilt Fax: (401) 574-8914 �r Providence, RI Email: Tax.Excise@tax.ri.gov LITTLE B'S BBQ LLC 224 W GREENVILLE RD SCITUATE, RI 028571112 State of Rhode Island and Providence Plantations DIVISION OF TAXATION LICENSE FEE: $10.00 ID: 2-0949-4044 ISSUED TO: LITTLE B'S BBQ LLC 224 W GREENVILLE RD SCITUATE, RI 02857-1112 M DATE ISSUED: 06/27/2019 RETAIL SALES PERMIT Valid From: 07/01/2019 to 06/30/2020 This permit, which authorizes the holder to collect the salestuse tax, is not assignable and is valid only for the person in whose name it is issued and for the transaction of business at the place designated. When the holder of this permit ceases to conduct the business for which it is issued at the place named, the permit must be returned to the Tax Administrator for cancellation. The ID for this place of business. Do not use this number to file returns. Every holder of a Retail Sales Permit issued pursuant to R.I. Gen. Laws § 44-19-1 shall keep complete and accurate records of every sales transaction. These records shall be made available for examination, inspection, and copying by agents of the Division of Taxation as required by R.I. Gen. Laws § 44-19-27 and 280 -RI CR -20-70-12. The failure to maintain or prod ace ran aired records can result in the THIS PERMIT MUST AT ALL TIMES BE PROMINENTLY /S� DISPLAYED AT THE LOCATION a FOR WHICH IT IS ISSUED. TAX ADMIINISTRATOR SPECIAL STATE LICENSE Hawker or Pedler Licensee: Jessica Dalessc 224 W. Greer•, -i- TV17.Sci`_ cs e, y 5/13/2019 - ViewPoint Cloud .�... Q- P66 `Back to overview (/track/31357/step/149608/inspection) Inspection Repoli Inspection: Mobile Food Establishment Fire Marshal Inspection Inspector: Eric Kiernan Inspection Date: May 06, 2019 MFE - Commercial Cooking Overall Result:Pass Record: Mobile Food Establishment Registration # (/track/31357/step/149608/inspection) Location: 224 West Greenville Road, Scituate, RI 02857 Applicant: Jessica D'Alessandro Checklist: Item # 1- 96:4.1.1 Exhaust system installed and is functional for cooking systems with smoke or grease cted and installed. Cooking using hot lipment, and wiring complies with https:t/rhodaisland.viewpointcloud.com/inspection-reporV11176 115 GEICO® CommercialAuto 111 associa ioa 14111 NATIONAL INDEMNITY group of insurance companies 1314 Douglas Street, Suite 1400 -Omaha, Nebraska 68102-1944 April 11, 2019 LITTLE B'S BBQ LLC 56 PEEPTOAD NORTH SCITUATE, RI 02857 Policy Number 70APGO87168-01 Billing Account Number 209914 Policy Term 04/10/2019 10:41 AM to 04/10/2020„12:01 AM To our policyholder. Policy questions, chances, or billino: 1-800-691-3891 Monday - Friday 7:00 AM - 8:00 PM Central Time GEICO Insurance Agency, Inc. has placed your policy with National Indemnity Company. National Indemnity Company is a Berkshire Hathaway Inc. affiliate. National Indemnity Company has the highest financial strength rating in the insurance industry. Coverage Selection / Rejection Form If required by your policy state, a Coverage Selection/Rejection Form is enclosed. This form confirms your requested selections of certain coverage options. Please complete the form indicating the coverage you request, sign the form, and return the original in the enclosed self-addressed, postage -paid envelope. The options you requested are already printed on the form(s). These options determined your policy premium, but you may change your selection on the form. Changing these options may result in changes to your premium. To make an immediate change to your policy, please contact 1-800-691-3891. Claim reporting: 1-866-920-5459 24 hours a day 7 days a week Billing Billing statements will be mailed to you based on the payment plan you selected. If you have not done so already, you may sign up for recurring payments. Recurring payments are a convenient and secure option to automatically deduct your insurance payment from your bank account, credit card or debit card on the scheduled due Oate. When enrolled in recurring payments the installment fee is eliminated, lowering your bill. Please see your billing statement or contact GEICO at 1-800-691-3891 for more information. This policy has been issued without confirmation to government agencies regarding motor carrier transportation authority, public utility commission authority, or any similar governmental requirements for commercial transportation policies. If you require such confirmation, please contact 1-800-691-3891; if you request us to make such a confirmation,this may affect your premium and alter the terms of your policy. Regards, National Indemnity Company M-8000(0112009) ACOR®® CERTIFICATE OF LIABILITY INSURANCE L� DATE(MM/DDIYYYY) 1 04/10/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTCT NAME: PHONE (EXII,888) 202-3007 FAC Nol: HISCOX Inc. 520 Madison Avenue 32nd Floor E-MAIL tact hlscox.com ADDaEss: con @ 04/09/2019 New York, NY 10022 INSURERASI AFFORDING COVERAGE NAIC11 INSURERA: Hiscox Insurance Company Inc 10200 MED EXP Any one person) $ 5,000 INSURED INSURERS: INSURERC: LITTLE B'S BBQ LLC 56PEEPTOAD PRODUCTS-COMP/OP AGG $ 2,000,000 NORTH SCITUATE, R102857 INSURER D: AUTOMOBILELUIBILRY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIREDAUTOS AUTOS INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INBR L TYPEOFINSURANCE ADDL BURR POLICYNUMBER IMOUCYEFF WDDIX MO ICY Up LIMITS A COMMERCIAL GENERALLIABIUTY CLAIMSWADE [-X1 OCCUR Y Y UDC -4125141 -CGL -19 04/09/2019 04/09/2020 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence)$ 100,000 MED EXP Any one person) $ 5,000 X Primary&Noncontributory PERSONAL& ADV INJURY $ 1,000.000 GEN'L AGGREGATE LIMITAPPLIES PER: X POLICY JEST R LOC N OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OP AGG $ 2,000,000 $ AUTOMOBILELUIBILRY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIREDAUTOS AUTOS COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTYDAMAGE $ Per accident) UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACHOCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION ANDEMPLOYERWUABILrrY YIN ANYPROPRIETOP/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDEDY (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA STATUTE ERH E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) RHODE ISLAND ZOOLOGICAL SOCIETY 1000 ELMWOOD AVE PROVIDENCE RI 02907 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1988-2014 ACORD ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD National Indemnity group of insurance companies 1314 Douglas Street, Suite 1400 Omaha, NE 68102-1944 Commercial Auto Insurance Binder LITTLE B'S BBQ LLC Policy Term: 04/1012019 10:41 AM to 04/1012020 12:01 AM 56 PEEPTOAD Policy Number: 70APGO8715801 NORTH SCITUATE, RI 02857 Total Policy Premium: 1,298 Minimum Earned Premium: $0 Business Description: MOBILE CONCESSIONS Issued by: GEICO Insurance Agency, Inc. (Fredericksburg, VA) THIS BINDER IS A TEMPORARY CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE BOTTOM OF THIS FORM Thank you for your recent order for coverage. We are pleased to bind coverage (FOR 30 DAYS) effective 0411012019 10:41 AM with National Indemnity Company. Coverage Information Coverage Limit Liability (BI & PD) $25,000 each person 1$50,000 each occ. 1$25,000 each occ. Liability applies to scheduled autos only. Uninsured Motorist (BI & PD) $25,000 each person /$50,000 each occ. 1$25,000 each occ. Physical Damage Vehicle Information 1. 2005 GMC 2500 2. 2018 EMPIRE CARGO UNKNOWN See Vehicle Information. Only covered if a value and deductibles are listed. VIN: 1GTHK29U95E198182 VIN: 7F81E2224JD002025 Special Conditions: This binder may be cancelled by the Company by notice to the insured in accordance with the policy conditions. This binder is cancelled when replaced by a policy. If this binder is not replaced by a policy, the Company is entitled to charge a premium for the binder according to the Rules and Rates in use by the Company. with UMPD with UMPD Page 1 of 1 I IS I INTERNAL ETREASURY REVENUE CINCINNATI OH 45999-0023 002344.848723.44426.22741 1 MH 0.424 530 lobi'!II!""!!!!"h"Idhll'Id'uhllllhdllld'u'u'!!I LITTLE BS BBQ JESSICA L MARTINELLI SOLE MBR 224 W GREENVILLE RD SCITUATE RI 02857 )02344• x Date of this notice: 04-30-2018 Employer Identification Number: 82-5310882 Form: SS -4 Number of this notice: CP 575 H For assistance you may call us at: 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number CEIN). We assigned You EIN 82-5310882. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your Permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear -off stub and return it to us, A limited liability company (LLC) may file Form 8832, Entity Classification Election, and elect to be classified as an association taxable as a corporation. If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a Small Business Corporation. The LLC will be treated as a corporation as of the effective date of the S corporation election and does not need to file Form 8832. IMPORTANT REMINDERS: • Keep a caps of this notice in your permanent records. This notice is issued only one time and IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. # Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN _on -your tax -related correspondence and documents, --- Provide future officers of your organization with a copy of this notice. Your name control associated with this EIN is LITT. You will need to provic this information, along with your EIN, if you file your returns electronically. If you have questions about your EIN, you can contact us at the phone numbe address listed at the top of this notice. If you write, please tear off the st: the bottom of this notice and include it with your letter. Thank you for your cooperation. Rhode Island Automobile Insurance Identification Card COMPANY NUMBER COMPANY 7n National Indemnity Company POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE 70 APG 087158 - 01 04MO1201910:41 AM 0411012020 12:01 AM YEAR - MAKEIMODEL 2018 EMPIRE CARGO UNKNOWN GENERALAGENCY ISSUING CARD GEICO Insurance Agency. Inc. One GEICO Blvd Fredericksburg. VA 22412 INSURED LITTLE B'S BBQ LLC 56PEEPTOAD NORTH SCITUATE, RI 02857 VEHICLE IDENTIFICATION NUMBER 7F81E2224JD002025 THIS CARD MUST BE CARRIED IN THE INSURED VEHICLE FOR PRODUCTION UPON DEMAND PURSUANT TO RHODE ISLAND LAW, THE CONSUMER HAS THE RIGHT TO CHOOSE THE REPAIR FACILITY TO COMPLETE REPAIRS TO A MOTOR VEHICLE. AN INSURANCE COMPANY MAY NOT INTERFERE WITH THE CONSUMERS Report All Accidents To: 1-800-691-3891 24 Hour Toll Free Claims may also be reported at: claims@nationalindemnity.com M4566a (11/1999) SEE IMPORTANT NOTICE ON REVERSE SIDE ------------------------------ CUT ALONG THIS LINE.....--.-----------------...... ....- .----------CUTALONG THIS LINE----_---..... Rhode Island Automobile Insurance Identification Card COMPANY NUMBER COMPANY 70 National Indemnitv Companv POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE 70 APG 087158.01 041101201910:41 AM 0411 012 020 12:01 AM YEAR MAKEIMODEL VEHICLE IDENTIFICATION NUMBER 2018 EMPIRE CARGO UNKNOWN 7F81E2224JD002025 GENERAL AGENCY ISSUING CARD GEICO Insurance Aaencv. Inc. One GEICO Blvd Fredericksburg. VA 22412 INSURED LITTLE B'S BBQ LLC 56 PEEPTOAD NORTH SCITUATE, 111 02857 THIS CARD MUST BE CARRIED IN THE INSURED VEHICLE FOR PRODUCTION UPON DEMAND PURSUANT TO RHODE ISLAND LAW, THE CONSUMER HAS THE RIGHT TO CHOOSE THE REPAIR FACILITY TO COMPLETE REPAIRS TO A MOTOR VEHICLE. AN INSURANCE COMPANY MAY NOT INTERFERE WITH THE CONSUMERS Report All Accidents To: 1-800-691-3891 24 Hour Toll Free Claims may also be reported at: cialms@nationalindemnity.com M4566a (11/19991 SEE IMPORTANT NOTICE ON REVERSE SIDE CUT ALONG THIS LINE... _. _.____________________._:._._-_---CUTALONG THIS LINE.._... 041101201910:44 E76A5171.70D04B80-ADEF-E412A98F810E w O w W w U [4 V NO zo Z=RN Z�U ON 3 0 w a J W o � a Z �o^ CC d �ON akak VJ gryg Ci P K O � IN t N g M � c� M b m d t qf A 2 o a lu Q u O U q zo Z=RN Z�U ON 3 0 w a B o � a �o^ CC d �ON akak VJ gryg Ci P O � IN t N M � c� M b d 0 a e�x o � IN t M b d t qf A 2