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UNITED STATES BANKRUPTCY COURT DISTRICT OF OREGON In re ) ) ) ) ) ) ) Case No.________________ LIST OF CREDITORS ENTITLED TO SMALL DIVIDENDS

Debtor(s)

I, the undersigned case trustee for this estate, certify that the following creditors were entitled to under $5.00 if a chapter 7 case or $15.00 if a chapter 12 or 13 case, and that attached hereto is a check in the $0.00 amount of $_____________ (i.e., the total amount of all dividends listed below) which should be deposited by the Clerk in the U.S. Treasury pursuant to Bankruptcy Rule 3010: CLAIM NO. CREDITOR NAME/ADDRESS DIVIDEND

$0.00 TOTAL: _____________

DATE:__________ 393 (6/29/94)

__________________________________ Trustee