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<br />STATE OF OHIO <br />BOREMIU OF WORKERS' COMPENSATION <br />COLUMBUS, OHIO 43215 <br />CERTIFICATE OF PREMIUM PAYMENT <br />This certifies that the employer listed below has paid into the State Insurance Fund as <br />required by law. Therefore, the employer is entitled to the rights and benefits of the <br />fund for the period specified. <br />THIS CERTIFICATE MUST BE CONSPICUOUSLY POSTED. <br />RISK NO. AND EMPLOYER <br />PERIOD SPECIFIED BELO1h' <br />RISk ~ 0460956 <br />MALCOLM PIRNIE INC <br />2 CORPORATE PARK DR <br />P 0 BOX 751 07-01-91 TO 02-29-92 <br />WHITE PLAINS NY 10602 <br />BWC-1622 (Rev. 8/90) ~.~,Q~(,.Q_ <br />DP-22 CEO/ADMINSTRATOR <br />THIS CERTIFICATE MAY BE REPRODUCED AS NEEDED <br />