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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.


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1535-0067 199108-1535-006
Historical Active 198902-1535-002
TREAS/BPD
CERTIFICATE BY OWNER OF UNITED STATES REGISTERED SECURITIES CONCERNING FORGED REQUESTS FOR PAYMENT OR ASSIGNMENT
Extension without change of a currently approved collection   No
Regular
Approved without change 11/22/1991
08/06/1991
You may omit printing the expiration date on this form.
  Inventory as of this Action Requested Previously Approved
10/31/1994 10/31/1994 10/31/1991
3,000 0 3,000
750 0 750
0 0 0