Attachment I AM SURENDERING MY

I AM SURENDERING MY

SURRENDER OF AUTHORIZATION

Surrender Letter

2007-05-11

This document pretains to SUR-NDR-20070511-00018 for Surrender (SUR-NDR) on a Surrender filing.

IBFS_SURNDR2007051100018_566365

Approved by OMB 3060−0686 INTERNATIONAL SECTION 214 APPLICATION FOR OFFICIAL USE ONLY APPLICANT INFORMATION Enter a description of this application to identify it on the main menu: International 214 Application 1. Applicant Name: MTC MATRIXES Phone Number: 360−459−8264 DBA Fax Number: 360−413−5064 Name: Street: 6807 14th AVE S.E. E−Mail: mtcmatrixes@comcast.net BWNGKVN**SNGLP City: Lacey State: WA Country: USA Zipcode: 98503 − Attention: Mr Marcus TyroneTravenia 1


Document Created: 2007-05-11 19:32:08
Document Modified: 2007-05-11 19:32:08
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