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eee CERTIFICATE OF SUBPENA (Pursuant to Public Law Ne. 513, 94st Cong., 2nd Session} . {21 U.S.C. 876) % SL 63d “a, _ 4 | hereby certify that | served the subpena on the reverse hereof DATE SUBPENA SERVED (Day, month, year) TIME Abe FEL IONS cae HOW SUBPENA [| T handed an attested copy thereof to the person to whom it was directed. WAS SERVED ‘ ix] ! handed an attested copy thereof to an officer or agent of the company authorized to receive (Check dne) service of process. SIGNATURE - TITLE b6