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Z-4440 Application
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O o m c C O n. a Mp CL m =2 N " O Z> 3O m = O CC c 3 N O a us n a : :I . a rz In N m o a N pN �Su "m m OL Ul m C:> 'c n m m 2 .. 0 0 - m N .P gam as e 'o m CL O CD ��^a3 D a 7 m m m -4 x 0) u7 py �� a w �c�Q� n� � o- o< v� c > �? m6:0 -1 N v D ❑ ID m m < M so 0 7•}- O 2 •' m m m c Z �1° r ol m� �°rtm o rt t\.) m M o m Tw = i c a v m m a m D (D h7 �j a �o°33ma n' 3 O m"m CD av m m (D _ a " : o oO c O in 1,0. ,TJ C) 3r ' 3aim°mm `_• O" ya H m i;}i; 0 0c r � $sop �. •c a 0. m mvS CL -, 3 " ° !v Im O - F- Z xi 0 J �l �:l 0 �• a iR w c m �+ O c 3 N o o a Elia iQ a '� T n A R Ul m C:> N .P m cr 41 CL 0 D a 7 m d o O 3 .P a 4 m a 3 O d D vi N co oa r a 0 tL 0 0 CO E 0 LL 0 CL -P 010 529 603 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Sent to Anderson -Me er Par ner Y19 Aocokwood Rd'. P.O., State and ZIP Code Postage $ .22 Certified Fee .75 75 Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to whom and Date Delivered .70 Retum receipt showing to whom, Date, and Address of Delivery TOTAL Postage and Fees $1.67 Postmark or Date aiF N Go w LLr a m C 0 M E 0 LL fA fl P 010 529, .600 . RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Sent to 1st Nat'l Bank of LR Street 6d %OX 1471 vM° m_m P.O., State and ZIP Code M m Postage $ • 22 Certified Fee .75 Special Delivery Fee m m •}f'a• Restricted Delivery Fee -Ac D Return Receipt Showing to whom and Date Delivered .70 Return receipt showing to whom, Date, and Address of Delivery v CD' TOTAL Postage and Fees $ 1.67 Postmark or Date ILna PS Form 3800, Feb. 1982 * U.S.G.P.O. 1984.446.014 PS Form 3800, Feb. 1982 * U.S.G.P.O. 1984.446.014 o -i O vM° m_m M CD M m W 'am m 0 v o v T 'com m m •}f'a• W -Ac D m J F =r2. m v CD' �; m P-- ILna 0 D z Nr i x o 7 am ° O 3m m� ° a W m a -n N ffm 2,7m a �a F' ° o 0 m D-- WR a ° m Q. -- �_ O m < m m m cue Nm (Da IInZ rt9 ft w m CD j. rv'n ° m CD 2O -n 91 -0 rFm IQ 10 CD CL ° of -n CD fD � o �-A 00 'ID M D CD Ch mo <m a < m N (D 0 w w W^ m <� v m Q. � o o O �3 a <' CD -n `�C n rt CD m a y� ( D =r o � -n m O l7 lD 69 F - F-' o� of -n m 69 0 00 �+ N T CD ro mo m -- m m �l N m '.3 dl ~ - <ro fA N Ln N v N �l H ,(D M mo J N J IN IiV N O N v 3 Ln N (D I PS Form 3800. Feb. 1982 N (D PS Form 3800, Feb. 1982 w z m0 °m m 0 0 -0 L' -'• z - m o O CD zA En m m v CD' T o F(n O m 0 D z m i3 O C 1 a u' (CD --A m rP— Op, [ m zo 0 m 0 A m -n CD m cue �_ y a I.dz Ln 4' O m RI m D m 91 -0 rFm ro m CD 0CL D < ® Ln CDo'p m � o �-A ~m (mD M D Lrl >T. m 0. a < (D PS Form 3800, Feb. 1982 w -4 o:mm °m m cn 0 -0 L' -'• fJi 9 Cl) m o O m m m e m m v CD' m o F(n O m ° m D O C 1 a u' �: m rP— Op, [ • O Nr D m m 0 A m -n CD m m m rt� a I.dz 2. m m m m� m CD Z Q. OL rFm .4 a m CD 0CL N p N ' ,z CDo'p m m mo ~m (mD M o m >T. m 0. a < m N (D Z � 0 w W^ m a9 v m Q. � o o (D O m 0 <' CD -n `�C n C CD m a y� ( D =r o � -n m O l7 lD 69 F - F-' o� of -n m 69 0 00 �+ N T CD ro mo m -- m m �l N m '.3 dl (D W - <ro fA N Ln N O �l fA mo a N N f31 3 N (D �l N i rt 69 � v H 10 N CT) O -Q O Ln IN O C) n (D PS Form 3800, Feb. 1982 w O mm °m mcn m o Its cn m 3 D Fm jr O 7 m ° d CD 5 (a y I -t- x ° m r v m n o° 3 a u' m a x rP— Op, [ o n�. �� D m < m n a� m mO < -n CD m W (D (D, a I.dz 2. m m m m� m CD Z o. OL a O 0. m CD m C N p N m ° ,z CDo'p m m mo IF (mD M v m (D av' CD N _ < � N a W. 0 m m 0 m mN CD < Q. , r (D O �3 0 z -n > n C Q. o o � f (D � m lD 69 F - F-' CO m 7 m 69 v �+ N CD CD v0 J `D �l N N N '.3 dl �l <� O fA N Ln N O �l fA O O N i IPS Form 3800, Feb. 1982 * U.S.G.P.O. 1984.446.014 o O mm °m m 'a m o v 0 LIQ m m n 3 -i D r me . 3 y Fm jr O 7 m 0 m ° d ccD 5 (a m CA p x ° o.8 m 3:o m (my m a p m n -n m oT (D a x O m n ' Q. n�. �� D m < m m C) w z a P (D W (D m m O N rpi' p m � U1 N 7 'ZN CD m fr N ~ ft o. OL o o f m ° ( 0 a 0 `.3 m m mo <m m (mD M v m (D av' m N _ < � N a W. 0 m m y td m < O 3 Q. N (D (D O CD � � z -n n C Q. o o � f (D 0 r+ lD F-' CO m 7 m O fe N CD CD v0 <0n `D [C� '.3 dl <� m fA N �l fA O O N W M m o n o Z- m C C, I Z O <D z Cb m O XMn -M M ct,O 0 ZE D m m Ul CD v' o D Ri `�° yM .0 D< Cr �- O a r * U.S.G.P.O. 1984.446.014 M °m°mm Z m z C:) C) 0 v M - A Cn m m m_ � � c ccD z m C 9 Z 65D bi CM C3 lCD:10 Z C7 ® L-0 (D --A m 7C1 t3 DOo 0 m m e D m m (Jl CD � =) M ru 0 C) > cy`D D M aO -I r o w o m fr m o o. rp i Oa O ° ( Do. 1m v * U.S.G.P.O. 1984.446.014 I O °m°mm z C:) m n o v Z- C) m m -i me � -o ccD z m C 0 bi CM I Cb M' O DT n m D CD CD -:!:r) C) > ru Dm -• 81 ... m m v L-4 HOW Do F o r Ln `� 0 C) > LU aO -I r o I O °m°mm a m o v I -no (D = m -i s m -o CD D aE N bww P _ D m � � � -• � ... m m .Cn. m L-4 HOW 3 r m� 0 m m aO -I (Do o w -U o 7 (p 3 x m o o. O N m Oa x ° ( Do. 1m v m m m e m z M v m Q av' m <m O a W. 0 m m m= m < ! N (D (D CD � � z -n n C Q. o o � -n (D 0 r+ lD T CO m 7 m O fe N CD CD v0 <0n `D m '.3 0 <� m fA fA O O f31 3W N El �l N rt H 10 O C) n 1 PS Form 3800, Feb. 1982 * U.S.G.P.O. 1984.446.014 O 0 m°mm v moo N O Oln (D = 3 -i Z- oc m -o CD D aE m D ,' r v m O 7cD ° O 3� .—°.. m Q (D a m m .Cn. m L-4 HOW zo w L a� Om v < (D w (D -I (Do Ln v m a oa _ (D .� W w m W CA m7' CD 2 m o e N M CL m o� ' �i _ m m O 0 a HSC N o <(O m m (1] < � r; rl- w �3 a ¢ `� rtrt rt fA fA f31 N �l N M Z n0 Z- oc m -o aE m D -C �z -n Q m m M L-4 m zo M m D 0 fJl (D -I ]li Ln Cb ur o> D m .� m m D < v Ln o e en M r p r M z n0 Z - m -o aE m D Cl) D -n L.2 z O cD --i m M m m z o 0 fJl n� M ru Cb ur o> m f r- v Ln o e en r p O A r N 0 rn A (D LL 0 0 0 0 E `o LL U) P 010 529 602 RECEIPT -FOR CERTIFIED (MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Sent to Albert G. Koch -A O Sggyyn'W°. Rockwood Rd. P.O., State and ZIP Code CA v CD Postage $ • 2 Certified Fee .75 Special Delivery Fee o Restricted Delivery Fee wv� m ° Return Receipt Showing to whom and Date Delivered .70 Return receipt showing to whom, Date, and Address of Delivery m = TOTAL Postage and Fees $ 1.67 Postmark or Date ZD' PS Form 3800. Feb. 1982 * U.S.G.P.O. 1984.446.014 j -0 0 -A O pm w m p m m :p m CA v CD 0 m _V O _V� ,W,4 P CD 0 o D`°` wv� m ° �� m ° m = v O- •C ZD' 3 w r w3 07 o in FD °O m t� Ou+ F5 o m w am D- a� 0 1. (b �m a - a Dm CD < m m m m m w , a Z ¢1 v m m = v� m <` � � .0 �a ° 1 CD n CD N 7 N£ m� m M CD D < sb� O 9C U] ° _n ° anCD a m - m CD 0 C81. Ci En ft CD N m o - <m m `D .J o x O 1 m � a oo h O F, j '20 � N st W fn s✓ rn r» O N H � d n dl J J N N Ii I � J n N N O PS Form 3800, Feb. 1982 mm C Z m i z * U.S.G.P.O. n0 1984.446.014 0 0 o O � wv� m ° °� f m v n m = N w p L� F-@ ZD' 3 w � 3 0 3 3 � n m p m a °O m Fm Ou+ ft E o w a° D m. w` Z' m a v m < m cD m m m �° 'fj z 0 (D v W00 m m as am a _ vN m CD � .0 �a Ul 0 1 to CD W N 7 N£ w m0 m m CD D < N (D -n -nv m SE m S. m CD m 06 0a Ci En ft Cn CD m a a 0 {C O 1 3 Z3O h M F, j � N st W fn s✓ rn r» O N H � d N N Ii � J J N O I i PS Form 3800, Feb. 1982 mm C Z m i z * U.S.G.P.O. n0 1984446.014 0 0 V 0 0 f7 A .�.. C p 31 C 3]-a N 13 m O .y. � rp to d m is o r w 7 O O 0 Cm] w m SD m O CPI .° x o 00 CD w dA na W R a m m - -n m <D m m I� (Dw 7 'fj z 0 Ln w_ m C ms mC, m m z � .0 n Ul 0 1 CD a M m -n m CD D < ® (��p (1)H (D CD N m SE m.7 CDt0 m /�a m � r. En ft rn <f Z0 a a O {C O 1 � ° 3 Z3O l7 F, j d o st W fn s✓ ea r» O �l H ft v Z m o 0 Z- m oEn C o � 9 D -n Q z [CD zm O L z" M C3 C:) 0 `m �M m Ln rLJ Dm .0 )::.:5 o U"I F .0 a_ -0 r - PS Fnrm 3801 Feb. 1982 * U.S.G.P.O. 1984-446.014 o Cl) M mm C Z m i z m .% n0 v 0 0 3 w En z_ � Cn m 'O H o ° a m to -n is o o CP Cb mm no r -n �d O o O L" [�Dz [D ---I m � C3 W =a n n M m m D n R1 Ln Cb -170 u N 7 y� IV F a- � .0 N d r�- N n 1 r ma M m Ln w CD D < ® -0 (1)H F O m a 0 M m `i ° ((DD PS Fnrm 3801 Feb. 1982 * U.S.G.P.O. 1984-446.014 o Cl) M mm C Z m i 'C m m .% n0 v Z- m 3 w En wa °@ 0n 3, -MTIS H o ° a m to -A is o o CP Cb mm '0 C3 �d O m a _n fD Z C M i� 3. MUl fD M av Cl CD a H ru n M m m D n (D o H ® Ln C) D < u N 7 y� w N F m .0 On o N d r�- N n ' r ma PS Fnrm 3801 Feb. 1982 * U.S.G.P.O. 1984-446.014 o Cl) O 9 mm C °m F m i 'C m m .% 0 W v �^ m 3 w - wa °@ 0n 3, 0` m w o ° - ID .� t w w L=1� ipo ' r is o o CP a W '0 a m T m a _n t w .4- i� w . a n av Cl a �. v� o <' m m m D n (D o H Ij m a u N 7 y� w N <CD m m _n m N d r�- N n ' W ma M Dg S m CD w ]+ 0 (1)H m a 0 Co- m `i ° ((DD !10CD CD a a P3 {C O 1 � ° 3 Z3O l7 F, j d o IH W fn s✓ ea r» O �l H ft v � J J J O I+N v J N J t.0 �l O U1 N CPS Form 3800, Feb. 1982 * U.S.U.F.U. IV04-44WU14 ! _U o � O am m! 70 m m rn -0 0 w -0 o � tip CA 1�^' W dr D CD 7 �� 0 7 4 " n w ? m F's (*� 1 � m O -o ° y 0 w ° 0.0 3 w CD m a � m a _n rfw ft m ft9: F fD [>> }tea O lD ° w m a- aam m v m m m I- w z I W 'a m y 0 o? m� 7 v° <CD m _n _n m PJ -0 r�- N n �. .q W a CD Dg S m CD O ❑ p (1)H CD (D CD <ro CD m `i ° O fA CD m7 a P3 C O 1 'Z3 3 Z3O Aa F, j IH W fn ea r» O �l H N v � J J V O I+N U1 Ln u t.0 PS Form 3800, Feb. 1982 * U.S.G.P.O. 1984446.014 v y -4 O am °'m ° � u m y co 0 m _U v m W CD r0 Nr w 7 0 7 O m n w FD m � 7 V .+ O -o ° y Qm m D- 3� w 0 aro m a p m - 0. -n m m rfw ft m a G7 v Su ro a� a a - v m < CDa m I- No w=r PJ -0 LQQ w a � Dg S m CD m ❑ p (1)H CD (D a0 <ro CD m `i ° O fA CD °a P3 'Z3 3 iZ ea r» F t� v �1 U1 N z M o 0 z- m C) (z TIC H O � D -n z � zA O So n m >M m D m -n �o m D < � F p M r [d. C3 O Ln ru IT 0 M Z O CD N o H C3 7° z L- m zo O C3 Cb --i M m =oCD 21 < OLn D m m ru y O D O D> -n Ln >o D < Ir r p M D r- ANTIOCH BAPTIST CHURCH 10-48 LITTLE ROCK. ARKANSAS 72204 DATE 35 Fi Zing fee Cb i 2: w DETACH AND RETAIN THIS STATEMENT TNK ATTACHED CHECK 1$ IN PAYMENT Of ITEMS OESGRIHEO 9ELO . I, NCT CPR"XCT PLEA>!E ?QCMPy v PROMPTLY. NO Rccc,p, DESIRED, 125.00 I m J. (D Z O Q (D N .(/) -n v m ; z C+. AMOUNT (D o Z M (D 1 N (D z O c+ y 3 -J. c-+ a n a rI. cn �. ���C� En C N a m C+ AMOUNT M z z O y -T, � En C - O '171 O 3 O r � � p -�• z m r- ct c+ = i --I cl+ m -I z -� • � (D m L/)r m m 1—+ m m • � 7b. N C o m . CD CD -. y r-, • z , cp 1 W y 0 H d OD F3 C�] O id d O 171d H n N O U2 O "73 o--7 x LM n H y F< 0 In ZONUSz d•uOm O Ht70 It >y o H G):Kz H nHz xn0 n Mo>r3:M �dzn0 v=�oH cyE �ro(n �jH0�oa 'd 0>0H 0 z 0 v z (nm_m0 [Mny�F3�;o y,p�n ��tyo nr�Oz x o n d C7] v > H C'7 F -i H En 0 O x M z C�y3y� hHyty O G� H 00 b r w b O G y ::3 (D t -h �:l y in rt Q, K L1, G7 hat p� �3 rt ro K H C7 U) rr O F3 ::r En n y 0 m rt Z tqt rn M hd rt Z rat n Z 'O O rt (D .. .• N m :3"K7• m t7 ::r:' nroro00ro(Dro00M00MDJ n rt n m Di w d n G H. 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