11. ________________________________________________________________________
12. ________________________________________________________________________
13. ________________________________________________________________________
14. ________________________________________________________________________
15. ________________________________________________________________________
16. ________________________________________________________________________
17. ________________________________________________________________________
18. ________________________________________________________________________
19. ________________________________________________________________________
20. ________________________________________________________________________
DATED (month) __________________________ (day) _____, 20___.
Submitted By: (your signature)
(print your name)
CERTIFICATE OF MAILING
I, (your name) _________________________________ declare under penalty of perjury
under the law of the State of Nevada that on (month)_______________________ (day)______,
20___, I served this Exhibit Appendix by depositing a copy in the U.S. Mail in the State of
Nevada, postage prepaid, addressed to:
Name of Person Served: ________________________________
Address: ________________________________
City, State, Zip ________________________________
DATED (month) __________________________ (day) _____, 20___.
Submitted By: (your signature)________________________________
/s/
/s/