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Case 1:10-cv-08435 Document 4 Filed 12/02/10 1 Page

OAO 458 (Rev. 10/95) Appearance

UNITED STATES DISTRICT COURT


DISTRICT OF

APPEARANCE

Case Number:

To the Clerk of this court and all parties of record:

Enter my appearance as counsel in this case for

I certify that I am admitted to practice in this court.

Date Signature

Print Name Bar Number

Address

City State Zip Code

Phone Number Fax Number

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