TRANSMITTAL OF OMAHA LEAD SITE 

PAINT STABILIZATION FILE FOLDER 

SAID #: 9>L}^S^ Date: 09 . )<\i^ |,StaO^ 

Address: /^^ ^ 2> N 0*7 Av 

LBP Stabilization Contractor: PRUDENT TECHNOLOGIES, INC. Year: 2009 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

M Videoof property (DVD): Pre-Stabilization & Post-Stabilization Videos 

1^ Executive Summary 

y Signed Access Agreement Form 

y Advance Notice Form 

t^ Pre-Stabilization Video Agreement Form 

y Access Tracking Form 

£y Property Access Assessment Form 

y Neighbor Access Agreement Form 

y Paint Match Form 

y Pre-Stabilization Property Safety Assessment Form 

y Work-Site Hazards Analysis Checklist 

y Photographs: Pre-Stabilization Propertv Hazard Assessment Photographs 

y Douglas County Assessor Property information 

y Property Completion Agreement Form Signed by Property Owner 

D Property Close-Out Check List Signed By EPA 

Prudent Technologies, Inc. Signature Date 

EPASignature i /Dat e 

,30055417 

Superfund 
TEOINOLOGIBS. INC. 

Property Summary 

Date: 8/03/2009 | LBP STABILIZATION EPA CONTRACT EP-R7-08-07 | Month of: Aug 

Property Address: 2923 N 47 Av SAID #: 84724 

A. Executive Summarv: 

a. Issues Encountered: NONE 

b. Issues Resolved: NONE 

c. Unique Findings: NONE 

d. Other Relevant Information: 

i. Access Date: 7/09/2009 

ii. Work Began: 7/17/2009 

iii. Close-Out Date: 7/22/2009 

B. Enclosures: 

1. Pre-Stabiiization Video 

2. Post-Stabilization Video 

3. Signed Access Agreement Form 

4. Advance-Notice Form 

5. Pre-Stabilization Video Agreement Form 

6. Access Tracidng Form 

7. Property Access Assessment Form 

8. Neighbor Access Agreement Form 

9. Property Paint Match Form 

10. Pre-Stabilization Property Safety Assessment Form 

11. Work-Site Hazards Analysis Checklist 

12. Pre- Stabilization Property Hazard Assessment Photographs 

13. Douglas County Assessor Property Infonnation 

14. Signed Property Completion Agreement Form 

15. Property Close-Out Check List Signed By EPA 
TBCHNOLOGIES. INC ~ 

Prudent Technologies, Inc. (Prudent) is under contract (Contract # EP-R7-08-07) with the U. S. Environmental Protection 

Agency (EPA) to stabilize Lead Based Paint (LBP) at a number ofproperties located in Omaha, Nebraska, including the 

property located at pS'^. g AJ V7 ^ /{v^ . 

The EPA requests your permission to allow Prudent to perfonn LBP Stabilization at this property. By signing this form, the 

property owner grants permission to Prudent to perfonn activities related to LBP Stabilization including scraping paint and 

painting ofthe referenced property. Further, the owner/tenant verifies that they have received the LBP pamphlet "Renovate 

Right." 

By signing this document I agree to allow an EPA contractor to conduct a soil cleanup at my property following completion of 

lead-based paint stabilization, ifthe soil cleanup has not ah-eady been performed. I understand that the stabilization contractor 

cannot provide assurances of which contractor will be bound to the soil cleanup. I further understand that the soil cleanup 

contractor will make all reasonable efforts to address concems that I, as the property owner, may have regarding soil 

cleanup at my property. 

\sA[ Yes, I have read and understand the paragraph above. 

Signature of Property Owner 

7/^^"^ 

Date 

Ifyou have any questions about the LBP stabilization planned for your property, please contact Prudent's Customer 

Relations/Office Manager for the Lead Based Paint Stabilization, Mrs. Shannon Holt, at (402) 504-1004 or (402)812-0223. 

General questions about the Omaha Lead Site cleanup can be directed to the EPA Public Information Centers at (402) 731­

3045 (South Omaha office) or (402) 991-9583 (North Omaha office). 

Property Access Granted By: 

(Please Print Name) 

Property Owner Signature: (M^r.AL^y (Signature) 

^/a^ ? 

(Date) 

8080 Ward Parkway, Suite 405 2505 N. 24*^ Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax:(210)579-6577 
TECHNOLOGIBS. INC. 

PROPERTY INFORMATION 

I (T(Too bbee completecompletedd bbyy rresident and/or property owner — please print) 

RESIDENT NAME: ^wnerj) Renter 

RESIDENENTTADDRES ADDRESSS : , , ,„^j J V 

IF RENTAL, PROPERTY OWNED BY: 

OWNER'S MAILING ADDRESS; 

OWNER'S TELEPHONE NUMBER - HOME: {^(Si\ ^/O-^VJ^yNORK: i^UJi > ^l^~^9^ f 

NUMBER OF OCCUPANTS UNDER 7 YEARS OLD: a < NUMBER OF OCCUPANTS 7 YEARS OLD AND OLDER: 

NUMBER OF CHILDREN UNDER 7 YEARS OLD WHOM PLAY IN THE YARD FOR 5 HOURS OR MORE PER WEEK: 

^ _ 

COMMENTS OR SPECIAL INSTRUCTIONS: (I.E. DOGS, ENTRY GATES, ETC.) 

3 D0Q^<^ ^ Gk^_ >h-EorktjQ^J 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS: The activities to be implemented by EPA under this agreement are 

pursuant to Section 104 ofCERCLA, 42 U.S.C. 9604. EPA'srightof access to the property is provided for in Section 104(e) ofCERCLA, 

42 U.S. C 9605(e), which provides entry for "detennining the need forresponse,or choosing or taking any response action under this title, or 

otherwise enforcing the provisions ofthe title." 

8080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
TECHNOLOGIBS, INC 

Advanced notice needed. 

After signing the access you allow Prudent to begin Lead Based 

Paint Stabilization. All Plants, weeds and any vehicles or items on 

open porch (enclosed porches will NOT be stabilized) must be 

removed prior to stabilization. All Pets must be out ofyard during 

stabilization. How much notice do you need to have above 

mentioned tasks completed? Ifyou are a landlord you will need to 

contact the tenant as Prudent Technologies will only inform you. 

Do you have any pets that reside in yard? Yes 

Notice needed: 2 hoM.fs 

Number to call to give notice: N02 j 2'^ ' hf'^ i 

Whom we are giving notice to: fi^oyn (jfo S ^ 

Home Owner's Signature 

....^^^..C-Aett::. 

8080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax:(816)363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
<tEO STi, s^"' ' ^ 

TECHNOLOGIES, INC 

PRE-STABILIZATION VIDEO FORM 

I UNDERSTAND THAT PRUDENT TECHNOLOGIES WILL BE COMING 

OUT TO SHOOT A PRE-STABILIZATION VIDEO AT MY PROPERTY. 

THE VIDEO IS JUST A TOOL USED TO DOCUMENT THE CURRENT 

PROPERTY STATUS/CONDITION. A POST VIDEO WILL ALSO BE 

SHOT PRIOR TO COMPLETION OF STABILIZATION. 

 #_ C Gr^ssA^ f.Scked;^ OWNERS NAME :

PROPERTYADDRESS: 3L^Q.3 /J V7—/m l 

BVID/SAID: '2>MiaM 

HOMEOWNERS SIGNATURE: 

PRUDENT REPRESENTATIVE SIGNATURE: 

(X^iH ^ 

ANY CONDITIONS NEED TO BE AWARE OF BEFORE SHOOTING 

VIDEO: (LE. PETS, NOTICE NEEDED): Q ^^ ^ r\a^c ^ 

8080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
M7, 

TECHNOLOGIES. INC 

ACCESS INFORMATION TRACKING SHEET 

PROPERTY ADDRESS: 

Property Owned By: 

(If new property owner) 

Owners Phone No's: Home: iw,,.^.lO-.?33.& Work: 

Cell: .to.-..^il:.§?.°.l-. Fax: ~ 

Access Contractor: ASW PDA MES PE Other (Prudent) 

DATE TIME ACCESSOR CONRACT DETAIL 

««>I6« co.'«*K ^»a-W«« »o VA.^J.'Mcr :2/ ^ M'^7^<^ ^or\)^\ 

1 \ ^1Q°I M?>OprvN Qaoje-eV <^T^or>V«,

" ^ J< . 

Comments: 

8080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax:(816)363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
TECHNOLOGIES^ INC 

Access Assessment Form: (Must be completed for every property. 

Information must be obtained from a property walk thru, not given 

by owner) 

Is the property stucco or asbestos? 

Ifyes, is any ofthe stucco or asbestos damaged or cracked? 

Ifyes, stop as we can't stabilize this property. It requires special preparation 

techniques. It will be returned to EPA and they will assign at a later date. 

Does this property require lots of scrapping? 

Does this property require a lift or scaffolding to reach upper levels? 

Does this property have lots of plants or items in areas where painting is 

required? . 

Does this property have any significant structural damage? 

K ^ 

Ifyes, EXPLAIN? 

1^4 

8080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax:(816)363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
TECHNOLOGIES. INC 

Does this property have a garage? 

Ifyes, describe location of garage. 

Does this property have aluminum siding? 

Ifyes, is it original factory finish or has it been painted over? 

Does this property have any other type of structural components? (Le. roof 

shingles as siding)? 

K/V 

®

Ifyes, EXPLAIN? 

M 0 

Is this property vacant or occupied? 

ScAui^ (n3i <f ffeUnvO, 

Are there any pets at this property? 0'^ ^ $(, ^ /y^Ai^­ '\^ ^ 

Are there any low hanging power lines? 

8080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
TEOINOLOGIBS, INC 

PAINT MATCHING FORM: 

TO BE FILLED OUT ONLY IF MATCHING COLOR 

PROPERTYADDRESS: 1^1 ^ o^ U l P^T^. 

BVID: sma q 

I UNDERSTAND SHERWIN WILLIAMS WILL MATCH MY CURRENT COLORS. 

Homeowner signature: 

.i2^..£.^dtt^.. 

8080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
TECHNOLOGIBSb INC 

NEIGHBORHOOD PROPERTY ACCESS FORM 

IS THERE A NEIGHBORING PROPERTY THAT NEEDS TO BE ACCESSED ALONG 

WITH ASSIGNED PROPERTY TO COMPLETE STABILIZATION PROCESS? 

7M 

IF IT IS, GET ACCESS FROM ALL REQUIRED NEIGHBORHOOD PROPERTIES. 

i^UiW Cm'kd' f\^^k>ti^s^ 

8080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
StiosiiS 

TECHNOLOGIES. INC 

PRE-STABILIZATION PROPERTY SAFETY ASSESSMENT FORM 

PROPERTYADDRESS: aei> > M M^ Av^ 

BVID/SAID: S^7a ^ 

PRUDENT ASSESSMENT REPERSENTATIVE: 

^orjeJi i /^cfL-ic^ ^ 

******IF SAFETY RISK PROPERTY MUST BE TURNED OVER TO 

KATHY ROTHER BEFORE IT CAN BE ASSIGNED TO A CREW/SUB. 

REPERSENTATIVE REMARKS/FINDINGS: 

(POWER-LINE PROXIMITY TO PROPERTY, SCAFFOLDING/ LADDERS/ LIFTS 

NEEDED, UNSAFE AREAS, UNSAFE NEIGHBORHOOD...ETC.) 

REQUIRES K.ROTHER APPROVAL YES/NO 

SUBMITTED TO K.ROTHER ON: 

8080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
# • 

TECHNOLOGIES. INC 

Checklist for the Worksite Hazard Analysis 

Crew: Date: 

Item 

Overhead Lines 

In-transit Vehicle Clearance 

Levels around high wires 

Vehicle Clearance around 

high wires when working 

Phone lines 

Cable lines 

Gas Line 

Water Line 

Sewer Line 

Septic Tank 

Propane/Butane 

Access to/on Property 

Neighbor Access Required 

High Traffic Area 

Garage 

Structures 

Driveway 

Sidewalk 

Foundation 

Retaining Walls 

Fences 

Trees 

Foliage 

General Condition ofyard 

Daniaged Areas: sink 

holes/rotted wood 

Sprinkler System 

Pets 

Insects 

Weather Conditions 

Unsafe driving conditions 

Unsafe neighborhood 

2^.* . 

^OK? / Hazard Corrective Action 

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8080 Ward Parkway 2505 N. 24'" Street, Suite 308 al Drive, Suite 4250 

Kansas City, MO 641 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone:(816)363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax:(816)363-3707 Fax: (402)504-1005 Fax: (210)579-6577 
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^^'''''''ffTm T I vm I 
Current Sample Pre-Renovation Form 

Effective until April 2010. 

Confirmation of Receipt of Lead Pamphlet 

^ I have received a copy of the pamphlet, Renovate Right: Imporlant Lead Hazard 

Information for Families, Child Care Providers and Schools infornning me of 

the potential risk of the lead hazard exposure from renovation activity to be 

performed in my dwelling unit. I received this pamphlet before the work began. 

fj&L.^ C. Gn^SLS 

ZM :aa»? 

Printed name of recipient Date 

Signature of recipient 

Self-Certification Option (for tenant-occupied dwellings only) — 

If the lead pamphlet was delivered but a tenant signature was not obtainable, 

you may check the appropriate box below. 

• Refusal to sign — I certify that I have made a good faith effort to deliver the 

pamphlet, Renovate Right: Important Lead Hazard Information for Famiiies, 

Child Care Providers and Schools, to the rental dwelling unit listed below at the 

date and time indicated and that the occupant refused to sign the confirmation 

of receipt. I further certify that I have left a copy of the pamphlet at the unit with 

the occupant. 

Q^Unavailable for signature — I certify that I have made a good faith effort to 

deliver the pamphlet, Renovate Right: Important Lead Hazard Information for 

Families, Child Care providers and Schools, to the rental dwelling unit listed 

below and that the occupant was unavailable to sign the confirmation of receipt. 

I further certify that I have left a copy of the pamphlet at the unit by sliding it 

under the door. 

Ron^^^\. fi<^WN \Le?^ 

9 h lo^ 

Printed name of person certifying 

Attempted delivery 

date and time 

lead pamphlet delivery 

Signature of person certifying lead pamphlet delivery 

Unit Address 

Note Regarding Mailing Option — As an alternative to delivery in person, you 

may mail the lead pamphlet to the owner and/or tenant. Pamphlet must be mailed 

at least 7 days before renovation (Document with a certificate of mailing from the 

post office). 
Douglas County Account Infoij^tion Page 1 of3 

Douglas County, Nebraska Property Record - R2402160000 

Print Report 

i-f-,TM » — „ , ~i: ^ ..,« ...* nnn n e i e NEWFeature- Parcel Dimensions available @ scale 0-50 ft west of 52nd St-Vie W On Ma p 

information is valid as of 2009-6-16 Treasurer's Tax RepoS 

New Feature ->->- » Auto Sales Search 

Owner 

SCHECHiNGER ALLISON E y\ ^ 

2923 N 47 AVE \ V ^ ^ 

I iti^izq- OiVIAHANE 68104-0000 * 

Property Informatio n 

Key Number: 

Account Type: 

Parcel Number: 

Parcel Address: 

Legal Description: 

Value Informatio n 

Land 

2009 

2008 

2007 

2006 

2005 

2004 

Sales Informatio n 

Sales Date: 

Deed Type: 

Price: 

Grantor 

Grantee: 

Valid/Invalid: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

0216 0000 24 

Residential 

2402160000 

2923 N 47 AV 

OMAHA NE 68104-0000 

VINELAND LOT 21 BLOCK 1 40 X 125 

Improvement Total 

$5,700.00 

$5,700.00 

$5,700.00 

$5,700.00 

$5,700.00 

$5,700.00 

2007-03-06 

WD

$94,000.00 

Pierson Eric J 

Schecliinger Allison E 

Valid 

1998-07-24 

D

$48,100.00 

$83,300.00 $89,000.00 

$58,500.00 $64,200.00 

$58,500.00 $64,200.00 

$58,500.00 $64,200.00 

$60,400.00 $66,100.00 

$54,900.00 $60,600.00 

 Book: 2007 Page: 027549 

 Book: 2096 Page: 658 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R240... 7/7/2009 
i*'>';l!|'J.'«««:iV^Tl^tt»>*t^'<?-'TM.'^S»*^-?f^ S!»»*««f»iW.»**.f(<*.!i{W!4*)-r: 

Douglas County Account Infon^ticn Page 2 of3 

Grantee: 

Valid/Invalid: valid 

Exclusion Reason: 

Sales Date: 1990-06-23 

Deed Type: I D l Book: 1880 Page: 512 

Price: $46,000.00 

Grantor 

Grantee: 

Valid/Invalid: Valid 

Exclusion Reason: 

Land Informatio n 

Acres \ SF Units Depth Width Vacant 

0.11 ' 5000.0 1.0 125.0 40.0 No 

Improvemen t Informatio n 

Building 1 

at . s^, , ek.^i,<>» 

tW^iSw.MiMtWJfiflrJegftms J 

CLICK TO ENLARGE IMAGE CLICK TO ENLARGE IMAGE 

Square Footage: 1200.0 Percent Complete: 100 0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Good 

Built As: 1 1/2 story Fin Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: j 6.0 

Exterior: Frame Vinyl Units: 1.0 

Interior: Drywall Baths: 2.0 

Roof Cover: Composition Shingle Bedrooms: 3.0 

Roof Type: Gable Stories: I 1.5 

Floorcover: Allowance Foundation: Block 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R240... 7/7/2009 
Douglas County Account Infon^tion Page 3 of3 

YearBuiit 

1912 

Detail Type 

Add On 

Appliance 

Basement 

Basement 

Fixture 

Fixture 

Garage 

Porch 

Porch 

User 

Year 

Remodeled 

2006 

Percent 

Remodeled 

0% 

Detail Description 

Fence Chain Link 

Allowance 

Bsmnt Block 8 ft 

Walkout 

Base Fixtures 

Bath Full 

Detached 

EncI Screen 

Slab Roof Ceil 

MLS UPDATE 

Sprinkler Square 

Adjusted Year 

Built 

1950 

Footage: 0.0 

Physical Age 

59 

Units 

1.0 

1.0 

720.0 

1.0 

1.0 

2.0 

192.0 

192.0 

48.0 

1.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R240... 7/7/2009 
• • 

Hso ^^^, 

pK/\ isgj) TECHNOLOGIES, INC. 

Prudent Property Close-Out Form (Lead-Based Paint Stabiiization) 

SAID: -THI ^4 

Property Address: 25ll ^ Ni - Ml'^* ^ gCfA^TJ H 

Owner's Name: CL<Lix^CY\ C=^ ns 5> s 

S.NO 

Performance Standards/close-Out Criteria Yes NO 

1 

Was the entire structure(s) painted with the exception ofthe stated, 

excluded areas? This would include painting of other associated 

features including fascia, eaves, siding, all trim, porches, box 

beams, columns, rails, and exterior surfaces of garages. / 

2 Was all scraping and other preparation work completed 

satisfactorily? / 

3 Were all required areas of the structure(s) primed as needed and 

painted with two top coats? / 

4 Are all of the areas where contaminated materials have been spilled 

thoroughly vacuumed/ cleaned? 

y 5 

Did the contractor collect/vacuum all falling and scraped paint chips 

on the entire property, roadways, alleyways, public access areas 

and also remove any other generated debris? 

i/ 

6 

condition

Is the gras

? 

s area that surrounds the structure(s) in reasonably good A

7 Was the paint products utilized equivalent to a 30 year 

product/quality? 

y 8 Are all items such as polyethylene sheeting, ladders, paint brushes, 

cones, barrier tape etc properly removed? / 

9 Is there any evidence of property damage that was done by the 

contractor? Any property damage needs to be completed prior to 

the EPA Close-Out. 

1/ 

10 Are there any property items that were temporarily re-located by the 

contractor that need to be moved back? 

/

11 Are there any (known) lingering issues with the property owner(s) 

that have been left unresolved? / 

12 Other Considerations? Property Owner Discussions? Additional 

Work that is Required / 

Prudent Representative Signature: ^^5iwM>N-«-» CW-^'^-<_y 

Date: ^\^^ ] M^") 

Property Owner Signature: (JJI^^,^ . :^^(ff ^ 

Date 

8080 Wnrd Parkway, Suite 405 2505 N. 24" street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Oniaha, Nebraska 68110 San Antonio, TX 78229 

Phone:(816)363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816)363-3707 Fax: (402)504-1005 Fax: (210) 579-6577