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U S B C: Nited Tates Ankruptcy Ourt
U S B C: Nited Tates Ankruptcy Ourt
U S B C: Nited Tates Ankruptcy Ourt
Gasketeers, Inc.
Name of Transferor Court Claim # (if known): 178 Amount of Claim: $3,709.42 Date Claim Filed:7/19/2011 Phone: 904 645 0480 Last Four Digits of Acct. #: __________
Phone: ______________________ Last Four Digits of Acct #: ______________ I declare under penalty of perjury that the information provided in this notice is true and correct to the best of my knowledge and belief. By: /s/ Craig Ari Loren, Member Transferee/Transferees Agent Date: 7/27/2011
Penalty for making a false statement: Fine of up to $500,000 or imprisonment for up to 5 years, or both. 18 U.S.C. 152 & 3571.