JANICE Y RAMIREZ</B>
<BR>1559 COURTNEY PLACE &#035;19
<BR>FORT MOHAVE, AZ 86426
<BR>SSN / ITIN: xxx-xx-5071<BR><BR>	</FONT></TD>
	<TD VALIGN=top ALIGN=right><FONT SIZE="+0">represented by	</FONT></TD>
<TD valign="top" WIDTH="40%">
  	                    <font size="+0"><B>RANDOLPH D. WOLFSON</B>
<BR>THE WOLFSON LAW CENTER P.C.
<BR>3890 FRONTAGE ROAD
<BR>BULLHEAD CITY, AZ 86442
<BR>928 758-0777
<BR>Fax  : 928 758-0778
<BR>Email: wolflaw@ctaz.com<BR><BR></font></TD><TR>	<TD VALIGN=top WIDTH="50%"><FONT SIZE="