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CERTIFICATE OF SUBPENA {Pursuant to Public Law No. 573, 91st Cong., 2nd Session} {21 U.S.C. 876} | hereby certify that | served the subpena on the reverse hereof DATE SUBPENA SERVED (Day, month, year} TIME Or QA ~ VAAL IOUS am HOW SUBPENA [| I handed an attested copy thereof to the person to whom it was directed. WAS SERVED [4 | handed an attested copy thereof to an officer or agent of the company authorized to receive (Check one) service of process. - SIGNATURE TITLE . b6 rr p7c ~