INSURANCE CLAIM FROM HARTFORD GROUP

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP75-00793R000100190042-3
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 11
• Document Creation Date: December 12, 2016
• Document Release Date: July 25, 2001
• Sequence Number: 42
• Publication Date: April 25, 1973
• Content Type: MF

Approved For Release01/11/01: CIA-RDP75-00793R00010(J0042-3
OGC 73 -0713
OGC Has Reviewed
25 April 1973
MEMORANDUM FOR:
SUBJECT: Insurance Claim from Hartford Group
1. With reference to your memorandum of 16 April
1973 and the accident described therein, the undersigned has
prepared a draft letter to the Hartford Insurance Agent for
signature by I have also briefed
0" of Central Cover Staff concerning this accident i an e
has advised that he will be in touch with the proper cover
component in the event this rather specious claim cannot be
settled amicably.
call.
2. If I can be of any further assistance, please
GMB:ks
Distribution:
Original -,Addressee w/att and return of basic
a/- ACCIDENTS w/cy basic
1 - GMB Signer
1 - Chrono
STATINTL
. Approved For Release 2001/11/01 : CIA-RDP75-00793R000100190042-3
 Approved For ReFpse 2001/11/01: CIA-RDP75-00793RD 0190042-3
MB:ks (25 April 1973)
DRAFT LETTER TO HARTFORD INSURANCE AGENT
Mr. R. D. Mason, Jr,
The Hartford Group
4914 Radford Avenue
Richmond, Virginia 23230
Reference is made to your letter of March 30, 1973, to
In that letter you state one of your
insureds, Yorktown Materials, is seeking reimbursement from
you for damage to one of its trucks. Our review of this accident
indicates that it took place at about 11:30 a. m. on 21 November
1972, and it involved a 1972, flat bed, Chevrolet truck, driven
by Mr. James Arnold Roberts, an employee of Yorktown Materials
Corporation, Yorktown,. Virginia. It occurred about 2. 2 miles
east of the city limits of Lackey, Virginia. The vehicle driven by
was not struck in
any way or was in no way involved in this accident. Our file on, the
matter reflects that the accident resulted solely from the negligence
of Mr. Roberts and, in fact, Mr. Roberts was charged with reckless
driving by the State Police.
STATINTL
Approved For Release 2001/11/01 : CIA-RDP75-00793R000100190042-3
 Approved For Re se 2001/11/01 : CIA-RDP75-00793R0bV100190042-3
In answer to your specific question concerning insurance,
the Government is of course self-insured. With specific
reference to this accident, however, the Government expressly
denies any liability whatever.
If you have any further questions, please feel free to call
Sincerely,
Approved For Release 2001/11/01 : CIA-RDP75-00793R000100190042-3
 STATINTL Approved For Release 2001/11/01 : CIA-RDP75-00793R000100190042-3
Next 1 Page(s) In Document Exempt
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 Approved For Rele 2001/11/01 : CIA-RDP75-00793R000190042-3
Norfolk Office
200 Janaf Executive Building
Janaf Shopping Center
Norfolk, Virginia 23502
Telephone: [phone]
STATINTL
THE HARTFORD
As a result of the above ca:jtioned accident, claim has been made by our Insured,
Yorktown ^ aterials for an accident which occazrrerl on the above date in which
your driver, toosevr It Taylor was involved.
This is notice to you of our intention to seek full reirribursemcnt from you
for any and all oa.yments made.
If you are insured, please write the n:une of the insurance c.o:apo-ny aryl
your policy number below and return tc the address shown below. If you
are not insured, please contact t le writer at once.
Insurance Conrnarry
`'ol..i cy Tumber
!Tery truly yours,
,? T?. !i.son,`'. Jr.
491)1 Radford Ave n ue
Hchmorid, Virginia
23230
1--7O3-35B_01i33
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 Approved For Release 2001/11/01 : CIA-RDP75-00793R000100190042-3
Approved For Release 2001/11/01 : CIA-RDP75-00793R000100190042-3
 NAMES I HOME ADDRESSES
Appro4ed For Release 2001/11/01 CIA-RDP
5 00793R000'fo0 96632-3
W t
WHERE WA5IHbRED YAXEN
u I IF OTHER ORIYER OR PERSONS INJURED MACE STATE' ENTS AS TO CA!=5E OF ACCIDENT AND FXCcNT CF PERSONAL CR PROPERTI
RELATE CONVERSATION AND NAMES AND ADDRESSES CF OTHERS HEARING SUCH STATEMENTS
G
e
!= "f
POLICE OFFICER
CON'D;TION OF ROADWAY (Wei oe dry, fey, de )
APPROXIMATE SPEED (31U. yet Aaur)
K W
r
F
W
XU. INDICATE BY DIAGRAM !FLOW WHAT HAPPENED
i. Number Fedec.l vehicle ee 1-other vehicle .. 1-.dditian.t vtRittr
], .nd -11 d-- - 11 11-1 b, *r,*,
l#temDfe: ~j L=/? 4~ 1
t. U. .chd line to elf..- F.th before .[:,dent ~~
Approved For Release 2001/11/01: CIA-RDP75-00793R000100190042-3
3. Shen Rdp K i.. by )0
?. Show e.ibad by
S. Give wmee s nom ben d atrent a h.oh .ye
 S. R. 300 POLICE REV. 7-21-66
(6-7) (8-9) !101
71A1e A
+
SNTH DATE YEAR
T~ pNT M -- App~vea ~~or~se
2001/1 1/
4A;R
7-0079301001900
DO NOT WRITE
IN THIS SPACE
~
.
~
NO ....................................
C
OUNTY....................................................................... CITY OR TOWN................................................. )
N
7
IF ACCIDENT OCCURRED IN RURAL AREA ................ MILES NORTH
INDICATE DISTANCE IN MILES AND
C
O
TENTHS OF MILE FROM NEAREST TOWN. MILES SOUTH I
LET ....................................
USE TWO DISTANCES AND TWO DIREC
\
1 ~~A~~yy~Y~~YRLL .....................................................
TIONS IF NECESSARY. OF LIMITS OF ...
M I LES EAST CITY OR TOWN
C
..... w... A.1 . .... .
LET ..... ..... ... ........... ...........
................MILES WEST
A
TYPE ..................................
A
CCIDENT
T
HAPPENED ON (18-19-20) ....... ~!y4 ryyp~~ ~/? [()y .......-I'F' ..................................................... (21)
R~ b'K atis ~ IT.'[13AM@Oy:YNW F.E7 OR NIGH WAY NUMBER (U.f. OA STATE). NO HIGHWAY NUMBER, IDENTIFY BY NAME F
(1-2-3-4-5)
I
El AT ITS INTERSECTION WITH .................. ................................................................................................
NO.........
CHECK AND OR IF NAME OF INTERSECTING STREET OR HIGHWAY NUMBER
0
COMPLETE ONE
,/
_[-7 NOT AT INTERSECTION
.
FEET NORTH OF.
..... ..
rA7
!
I
"
CODED BY
.
............
7
__
~1~?,~,~{ {~[
~
~~
URBAN + L A AA
HOUSE NUMBER
SECTI HIS STREET
TYPE.....
N
,
,
...FELT SOUTH BRIDGE. RAILROAD CROSSING. ALLEY. DRIVEWAY, UNDERPASS. NUMBERED
(22)
H
H
R
E
DE
T
FYI
DM
RK
TELEP
ONE POL
. OR OT
E
I
N
I
NG LAN
A
.
. .
FAT P I PD 50 P.D.U.
C
.. ... ... .... FEET EAST RURAL - LOCATE TO NEAREST INTERSECTION, SHOW EXACT DISTANCE
TWO DIRECTIONS AND TWO DISTANCES IF NECESSARY.
NSF OFF
B
V
S
T
T
SUPPLEMENTARY REPORT El .'k.f.... FEET WEST
.
.
.
.
.
ALIGNMENT (CHECK ONE)
SURFACE CONDITION (CHECK ONE)
TRAFFIC CONTROL (CHECK ONE)
KIND OF LOCALITY (CHECK ONE)
WEATHER (CHECK
ONE) SURFACE
(23)
(24)
(25)
(26)
(27)
1 _ STRAIGHT-LEVEL
DRY
4 OFFICER OR WATCHMAN
12 __ BUSINESS DR INDUSTRIAL
AR
1
CONCRETE
R
D -_- WET
1 STOP AND GO LIGHT
0 RESIDENTIAL DISTRICT
- CLE
CURVE-LEVEL
4.
6 SNOWY
2 STOP SIGN
1 SCHOOLICNURCA OR PLAYGROUND CONE
2 CLOUDY
BLACKTOP
0
3 GRADE-STRAIGHT
7 ICY
8 MUDDY
3 SLOW OR WARNING SIGN
7
RAILROAD GATES OR SIGNALS
2 ,_ OPEN COUNTRY
3 FOG
BRICK
4 GRADE-CURVE
_
..
4
MIST
_ GRAVEL
9 OILY
1_ TRAFFIC LANES MARKED
LIGHT (CHECK ONE)
-
A
5 HILLCREST STRAIGHT
DEFECTS (CHECK ONE)
NO PASSING LINES
oeruexr
5 _ RAINING
_ DIRT
12 -- UNDER REPAIR
YIELD SIGN
6 HILLCREST-CURVE
DUSK
6 SNOWING
D
0 _- LOOSE MATERIAL
9 ONE WAY ROAD OR STREET
6 DAWN
SPECIFY OTHER
7 DIP-STRAIGHT
1 __. HOLES. RUTS, BUMPS
7 SLEETING
6 RAILROAD WATCHMAN
7 DARKNESS-STREET OR HIGHWAY LIGHTED
8 DIP-CURVE
2 __'SOFT OR LOW SHOULDER
B DARKNESS-STREET OR HIGHWAY NOT LIGHTED
8 SMOKE-DUST
NO DEFECTS
8 NO TRAFFIC CONTROL
YOUR VEHICLE-NO. 1 (28) u (29) I flu' I (29) Li I (30)
~'l
'
u
I
ILJ'
I.C..
LE
PSI, . . . .. WAS VE
?~ees VENIGL[ PLAT[g2 /~
INSURED? .HIC...
V ~ ~A~.mbed. TIT
.-E' t! .7. .l LATE NO .................
31 ~E'
f;J$8IPJ 53 ..'. .....~y~@AE.$FA xBAi...... LICENf[.. 1204:
y972
7
(33)
32
) NUMBER
YEAR YES OR MD YEAR 11
ISTAY[ 1
E MARE TYPE (SEDAN. TRUCK, A S. ETC.)
0
/'~'/~
9 ~
'~y j~ ~
~
?~ Ey~
'~
~
~
'~
Q
j
~,p
/B
,IPy~Ny~ 119
,
~P~
~
~yyS~R~ hy~yy~S'~y~'~ q}~pyy-
?
B
VIRM'J QAY VN ) (3S MA (36-31)RAC .... ... ...
H DRIYC?~aCfm?. E.A`ti-':J ?>E'SF'{%dW.n'~ti9" 9:eAVWJiI'V+/ CO'O'@./Yd ?~941.27Y'STRC[POR R`~ArA. ~.. '9i.1A6iJYlYI A. -F 14
NAME ?.
N TAT~?...
CNAUFICUR SPEED 0410111
DRItl[Rf ~YE.~~ ~grp~~pDRIVING DRIVER'S E9 y @~ ACCIDENT ![ED
OPERATOR I
~I
LICENSE
'4
IMIT
n'
22P
K'ds
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C
i
V
'?
....
. .
.
..,
1....
......... ............... .........
. ..
,
.
IG........ ..
OCCUPATIDYt:.._ i ..
n rERPERIEN
.CBIA.. .
CARS STATE BEGINNER
ETC
(
.
CAPCNMAXIMUM
j
. ... .. ....
~
1
a b"Y/4:YR.29?' 6'KAtior-1 Ai n. ? V' 4.P I' e ......... ......... R W ..,yy.orkVTi unp...M.................................................. SAFE f!E[D
OW MEB.o- l.Rf
5
.
.
F
T
(~
STREET ON R.F.D. CITY AND STATE .. ATI I V
NAME
L
L
ry{y $ yY,p {,S ~R,.. R~-ZS,'
PANTS OF VEHICLE DAMAGED E{T..fl tjlA V _A9y ..o:d.. a ...... ..... ... ................. ..... ..:........ ............................ . ......................
T
APPROXIMATE COS
E WA P .. .. .. ... .. .. .. .. .. ... .. .. . .. .TO REPAIR VEHICLE
DAMAGE TO P O ERTY
~L~t[nne~~er.~AA
.
...
........................................................................................
.....
....
.
..
......
........
..
.
.
..
....
.
....
...
...
....
OTHER THAN VEHICLES. Y7Ad'a~G:J"E6 ...............................
T.
TE
NAY[
O
BJE
C
SNOW
RWNRRSNI
P:
A
N
D
STA
MA
TURE
OF
DA
MAG
E
APPROXIMATE
. . , . . ..... . . . . . . . . . . . . . . . . . . . . . . . . _ , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... ... ........... ............ ..............COST TO REPAIR S..
V
~.. .4J'aBdA " p7~~21 .6~ " 'V$. p ..
YATBWB Ra p ? ?a~
????
... ........ .... ...... ... .... _ ~.. ..
DRIVC! IN WtHICILE
I PASSENGEE No . ? . ?
![O[STMdM
BICTCLH!
v
M V[NICLR
n Down
Yvm
IRfB^~
(53) Orval Asia
~` W? ?????Ap'pr ve ~ fease'2001'/11101 ? CIARDP75-00793R00010.0t90042-3
IPAISKNIG&I (54)
^ PO[ffWIAW
(sa)
BKTCI109
,... ..
BAC[. .. ..... ...... ................ ... ... .... ~. ............ ... ...... .... .. ........ .... WAN HEREON NILUW......
MAIL TO: DIVISION OF MOTOR VEHICLES. BOX 1298, RICHMOND (10), VIRGINIA
(11)
 rr /J
ADDroved For R Leese 2001111 101 GlA RIlP75 00Z93Pppp1001
LOCATION IN VEHICLE OF PERSONS
KILLED AND INJURED.
(CHECK ONE FOR EACH PERSON KILLED AND
INJURED)
VEHICLE VEHICLE
(55) (56) (55) (56)
KILLED INJURED
FRONT IEFT 2_. -- FRONT CENTER
FRONT RIGHT
REAR LEFT
S-_ _- REAR CENTER
6._ _ REAR RIGHT
StAto
at 636
' S. SHOW RAILROAD BY:+*tt, I,,IJ+f .?
? S. SHOW DISTANCE AND DIRECTIONS TO
? LANDMARKS: IDENTIFY LANDMARKS BY
? NAME OR NUMBER.
.......... '+hiC . 1 mot-.9 c3z. comid . .. ....s ar+o m...v ]~. :.. a -.. ..........
1.f T- ., ...oo o....... ? or' m ... ae ..z s. i1 # . -b .. . to--left.-an..last ..............
.o, . . A~Aw..AO .. G ..,,~ ..E ... ~ ffi... rolling. u.p. -on. xl t eidt.. ax. d. hlt.. ...a ..t e .....................................................
.~,,...., ....~...... .................................................................................................................................................................................
.~ ....., o..A... ..A .... ...................................................................................................................................................................................
I CHARGED DRIVER? DriverVehicle # I J Reckless Uri Aq
DRIVERS' ACTIONS INDICATED
DRIVER
1 2
(60) (63)
EXCEEDED SPEED LIMIT
EXCEEDED SAFE SPEED BUT NOT SPEED LIMIT
3___ OVERTAKING ON HILL
4___ OVERTAKING ON CURVE
5__ - OVERTAKING AT INTERSECTION
6__ IMPROPER PASSING OF SCHOOL BUS
CUTTING IN
OTHER IMPROPER PASSING
WRONG SIDE OF ROAD-NOT OVERTAKING
(61) (64)
12__ DID NOT HAVE RIGHT-OF-WAY
O-_ FOLLOWING TOO CLOSE
I__ -- FAILED TO SIGNAL OR IMPROPER SIGNAL
2_- _ IMPROPER TURN-WIDE RIGHT TURN
3__ IMPROPER TURN-CUT CORNER ON LEFT TURN
4_- IMPROPER TURN FROM WRONG LANE
6__ OTHER IMPROPER TURNING
B__ IMPROPER BACKING
7-- IMPROPER START FROM PARKED POSITION
6_- DISREGARDED OFFICER OR WATCHMAN
9-._ DISREGARDED STOP-GO-LIGHT
(62) (65)
12__ DISREGARDED STOP OR YIELD SIGN
O_- DISREGARDED SLOW SIGN
I__ FAILED TO STOP AT THROUGH HIGHWAY-NO SIGN
2_-_ DROVE THROUGH SAFETY ZONE
3__ FAILED TO SET OUT FLARES OR FLAGS
4___ - FAILED TO DIM HEADLIGHTS
6__ _ DRIVING WITHOUT LIGHT
6__ IMPROPER PARKING LOCATION
7-- OTHER VIOLATIONS
6.__ _yIG VIOLATIONS
MISCELLANEOUS ,o..A~.. o,~+...
DRIVER " ^PVL' ~elv.
1 2
(66)
12__ _ AVOIDING PEDESTRIAN
AVOIDING OTHER VEHICLE
AVOIDING ANIMAL
2SKIDDING-BEFORE APPLYING BRAKES
3__ _ SKIDDING-AFTER APPLYING BRAKES
4- _ CROWDED OFF ROADWAY
HIT AND RUN
CAR RAN AWAY-NO DRIVER
BLINDED BY LIGHTS
(67-68)
01__ CROSSING AT INTERSECTION-WITH SIGNAL
02_- CROSSING AT INTERSECTION-AGAINST SIGNAL
03___ CROSSING AT INTERSECTION-110 SIGNAL
04__ CROSSING AT INTERSECTION-DIAGONALLY
05_ CROSSING NOT AT INTERSECTION-RURAL
O6__ CROSSING NOT AT INTERSECTION-URBAN
07_. COMING FROM BEHIND PARKED CARS
06__ GETTING OFF OR ON SCHOOL BUS
09_ PLAYING IN ROADWAY
10-- GETTING OFF OR ON OTHER VEHICLE
11__. HITCHING ON VEHICLE
12__ WALKING IN ROADWAY WITH TRAFFIC-SIDEWALKS AVAILABLE
13_._ WALKING IN ROADWAY WITH TRAFFIC-SIDEWALKS NOT AVAILABLE
14--WALKING IN ROADWAY AGAINST TRAFFIC-SIOEWALKS AVAILABLE
1S___ WALKING IN ROADWAY AGAINST TRAPFIC-SIDEWALKS NOT AVAILABLE
18-- WORKING IN ROADWAY
17r-_ STANDING IN ROADWAY
19___ LYING IN ROADWAY
19_.._ NOT IN ROADWAY
DRIVER
1 2 PED
(69) (71) (73)
INSTRUCTIONS
1. FOLLOW DOTTED LINES TO DRAW OUTLINE
OF ROADWAY AT PLACE OF ACCIDENT.
2. NUMBER EACH VEHICLE AND SHOW DIRECTION
OF TRAVEL BY ARROW.
3. use SOLID LINE TO ~SNOW~PATH BEFORE
ACCIDENT ~ , DOTTED LINE
AFTER ACCIDENT - - - - - - -
4 . SHOW PEDESTRIAN BY: 0
NO DEFECTS
EYESIGHT DEFECTIVE
HEARING DEFECTIVE
OTHER BODY DEFECTS
ILL
FATIGUED
APPARENTLY ASLEEP
OTHER HANDICAP
(70) (72) (74)
12_&'X` HAD NOT BEEN DRINKING
DRINKING-OBVIOUSLY DRUNK
DRINKING-ABILITY IMPAIRED
DRINKING-ABILITY NOT IMPAIRED
DRINKING-NOT KNOWN
WHETHER IMPAIRED
VEHICLE CONDITION-...
(75) (76)
8-" .0 DEFECTS
LIGHTS DEFECTIVE
BRAKES DEFECTIVE
3._._ STIRRING DEFECTIVE
4__ PUNCTURE ON BLOWOUT
6__ WORN OR SLICK TIRES
6_._ MOTOR TROUBLE
T.__ OTHER DEFECTS
WHAT DRIVERS WERE DOING
(CHECK 28 FOR EACH DRIVER)
DRIVER
1 2
~~ER
_Z OING STRAIGHT AHEAD
MAKING RIGHT TURN
MAKING LEFT TUSA
MAKING U TORN
SLOWING OR STOPPING
STARTING IN TRAFFIC LANE
STARTING FROM PARKED POSITION
STOPPED IN TRAFFIC LANE
PARKED
BACKING
POREIn9
DRIVER
1 2
RAIN. SNOW. ETC. ON WINDSHIELD
WINDSHIELD OTNERWIRC OBSCURED
VISION OBSCURED IT LOAD ON VEHICLE
TREES. CROPS. ETC.
BUILDING
EMBANKMENT
SIGNBOARD
HILLCREST
PARKED VEHICLES
MOVING VEHICLES
__ _. ....................... .........
SPECIFY OTHER
__. LT OBSCURED
OCCUPANT
SIGNATJRE ......... .............
.Ap r rp $.1 a; ,-.2Qp1111101-:''CIA=RDP75?=00793R0001-0019004'2-3........-.... DhTf OF REPORT 1771
IF FILED BY POLICE BADGE NO. 615 DEPT. 3 tO ?q0l"08 n
 Approved; For Releases 2001/11/01 CIA-RDP'75-00793800
iV AL; -O 't't I INiA
TRH Wit:
ARREST WMMRA1NT
(R.ufe 3A4)
ICEOFFICE 2, OR OVIER ALIT 1ORI.ZE P OfF1CVit.:.
I A', i ttt"I2I F", 9'C31
r
:'qu ore hereby co
iruanded
n the name (W tile Commonwealth forthwith to
190042-3
No.
(Name of accused, or a description by which the accused can he idcntificd)
Linz. before t1t4 _ ' Y a`rk -.C aunty _C.ou. -__ - _
(l)e5icfation of Court)
hat he (4M ctVtimittcd.. an offense in the County lf*?() of...yor-k > -_ . . _._...w. ~. ._ w __....~m.
on ot about Nov . 2.1
si E ief description of the offense)._.. unlawful J 7 _cl. c1 operate ~ ._. Y Q3 tx 1 e:.. art _ j ~ . pts ?
a caxlesa and reckless manner to wit-.,.fail to .nt e ,n , ',
o v. h c3e causing 'an accident acainat the eaee_an i_ d~crr" at~r:of.. t i .
4s?of the swohi statement(i) of
;,hos fobrid, probable cause to believe the accused has conunitted the of'fensc.
Address-
Address
Address
Address__..r
dint has been made, it is attached to the original of this warrant.
r *4 tire also c+ inpbantlcd, in the name of the Commonwealth, to summon the following as witnesses:
Ca: to urz ar 4r7y -hand and seal, this--,')7 day t 1$ "t. xk '
Approved For. Release 2001/11/01 : CIA-RDP75-0079 0 '6(P? 2-
 Approved For-'- Release 2001/11/01 CIA RQP75-007938000100190042-3
i p {
Z7F
i x"O :7
4 ~ G
C. V
Fx.::ute if '~, ;ae ' day of
t
r 1 5 ,.a c~ ?c3 1 :r 'O .sE f
{ o o Y i ( D1SFOSIT1O OF CHARGE:
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NE 5 a E Q
w } . w
v.. {1 I 'C7 } 'O
Ivy
l~ 3/73
~0,g- Gfl. /i
Approved For Release 2001/11/01 : CIA-RDP75-00793R000100190042-3
L/23/73 ' c
r:ocr NO. ..? .
WARRA?a"T OF ARREST
CQ't~: G?iW1 AFTf[ vs James A. Roberts
Re akle a s , Drjv? --Fail 4 o Liiaintain
gaper coy -, rot
bje me the
tie .' t M., on the
4 i of _
wider penait~ of S
AMA
Ckrk Of S-sJU[t
Cs rnitat (Datt__
COSTS
t5'tt~es6~s _
Sheri1f1Sergeant: ` .
Fret .
C01t2~::7nweaftl'f tt4P.TCY_._..__.;.._.r
W f Ti .$ F'ee .
i, orUb e ? 3tt nt D.14f,V. ($$'.00).
I1,_ X AbWWua 1--ft (500Mod .mpl I-:y....-. A Ir' 1