Exhibit 4.16


WARRANT


TO PURCHASE


_______ SHARES OF COMMON STOCK


OF


VELOCITY ASSET MANAGEMENT, INC.


(Void after _______, ____)


Warrant No. CO-1


          THIS
SECURITY HAS NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED
AND MAY NOT BE OFFERED OR SOLD EXCEPT IN COMPLIANCE THEREWITH. THIS WARRANT AND
THE SHARES PURCHASABLE HEREUNDER ARE SUBJECT TO RESTRICTIONS ON TRANSFER AS SET
FORTH HEREIN.


          UNTIL
________, 2008, NEITHER ANDERSON & STRUDWICK, INCORPORATED NOR ANY ASSIGNEE
OF ALL OR A PORTION OF THE RIGHTS PURSUANT TO THIS WARRANT MAY SELL, TRANSFER,
ASSIGN, PLEDGE OR HYPOTHECATE ANY OF ITS RIGHTS PURSUANT TO THIS WARRANT OTHER
THAN TO BONA FIDE OFFICERS OF ANDERSON & STRUDWICK, INCORPORATED.


          This
certifies that Anderson & Strudwick, Incorporated (“A&S,” and each of
A&S and any successor or assign being a “Holder”), for consideration of the
payment of the sum of $______, the sufficiency and receipt of which are hereby
acknowledged, is entitled to purchase from Velocity Asset Management, Inc., a
Delaware corporation (the “Company”), subject to the terms set forth below, up
to _________ (______), newly issued, fully paid and nonassessable shares (the
“Warrant Shares”) (subject to adjustment as provided herein) of the Company’s common
stock, $0.001 par value per share (“Common Stock”) for cash at a price of $____
per share (as adjusted as provided herein, the “Exercise Price”) or pursuant to
the cashless exercise terms in Section 1.2 at any time or from time to time
after ________ and expiring at 5:00 p.m. (Eastern Time) ________ (the
“Expiration Date”) upon surrender to the Company at its principal office (or at
such other location as the Company may advise the Holder in writing) of this
Warrant properly endorsed with the Form of Subscription attached hereto duly
filled in and signed and, if the cashless exercise terms in Section 1.2 are not
utilized, upon payment in cash or by check of the aggregate Exercise Price for
the number of shares for which this Warrant is being exercised determined in
accordance with the provisions hereof. The Exercise Price is subject to
adjustment as provided in Section 3 of this Warrant, and the right to purchase
the Warrant Shares and the number of Warrant Shares that may be purchased
hereunder are subject to the contingencies set forth in this Warrant.


          This
Warrant is subject to the following terms and conditions:






          1.
Exercise, Issuance of Certificates, Reduction in Number of Warrant Shares.


                    1.1.
General. Except as provided in Section 1.2, this Warrant is exercisable
at the option of the Holder of record hereof on or prior to the Expiration
Date, at any time or from time to time, for all or any part of the Warrant
Shares (but not for a fraction of a share) which may be purchased hereunder, as
that number may be adjusted pursuant to Sections 1.2 or 3 of this Warrant. The
Company agrees that the Warrant Shares purchased under this Warrant shall be
and are deemed to be issued to the Holder hereof as the record owner of such
Warrant Shares as of the close of business on the date on which this Warrant
shall have been surrendered, the completed and executed Form of Subscription
delivered, and payment of the Exercise Price in cash or by certified check, or
if applicable, submission of the cashless exercise calculation pursuant to
Section 1.2 for such Warrant Shares. Certificates for the Warrant Shares so
acquired, together with any other securities or property (including any money)
to which the Holder hereof is entitled upon such exercise, shall be delivered
to the Holder or its transferee designated in writing to the Company by the
Company at the Company’s expense not later than ten (10) days after the rights
represented by this Warrant have been so exercised. In case of a purchase of
less than all the Warrant Shares which may be purchased under this Warrant, the
Company shall cancel this Warrant and promptly execute and deliver to the
Holder or its transferee designated in writing to the Company a new Warrant or
Warrants of like tenor for the balance of the Warrant Shares purchasable under
the Warrant surrendered upon such purchase. Each stock certificate so delivered
shall be registered in the name of such Holder. The Company shall pay all
documentary, stamp or similar issue or transfer taxes payable in respect of the
issue or delivery of the Warrant Shares, if any.


                    1.2.
Net Issue Exercise of Warrant. Notwithstanding any provisions herein to
the contrary, if the Fair Market Value (as defined below) of one share of
Common Stock is greater than the Exercise Price (at the date of calculation as
set forth below), in lieu of exercising this Warrant for cash, Holder may elect
to receive shares of Common Stock equal to the value (as determined below) of
this Warrant (or the portion thereof being canceled) by surrendering this
Warrant at the principal office of the Company together with the properly
endorsed Form of Subscription in which event the Company shall issue to the
Holder a number of shares of Common Stock computed using the following formula:


2






	
 

	
 

	
 

	
 


	
X =

	
 

	
Y (A-B)

	
 


	
 

	
 

	


	
 


	
 

	
 

	
A

	
 





Where X = the
number of shares of Common Stock to be issued to Holder;


           Y
= the number of shares of Common Stock purchasable under the Warrant or, if
only a portion of the Warrant is being exercised, the portion of the Warrant
being canceled (at the date of such calculation);


           A
= the Fair Market Value of one share of the Common Stock (at the date of such
calculation); and


           B
= Exercise Price (as adjusted to the date of such calculation).


          For
the purposes of this Warrant, the term “Fair Market Value” of a share of Common
Stock shall mean (a) if the Common Stock is then listed and traded on a
national securities exchange, the average of the closing prices for the ten
(10) trading days immediately preceding the date on which the Warrant Shares
are deemed issued pursuant to Section 1.1; (b) if the Common Stock is not then
traded on a national securities exchange but is otherwise traded over-the-counter,
the average of the highest bid and lowest asked prices as quoted on a generally
accepted reporting service for the ten (10) trading days immediately preceeding
the date on which the Warrant Shares are deemed issued pursuant to Section 1.1.
If on any determination date, neither of (a) or (b) of the preceding sentence
applies, the Fair Market Value of a share of Common Stock shall be the fair
market value of such share on such determination date as determined by the
Board of Directors in good faith. If the Holder shall object to any
determination by the Board of Directors of the Fair Market Value of the Common
Stock, the Fair Market Value of a share of Common Stock shall be determined by
an independent appraiser retained by the Company and reasonably acceptable to
the Holder, with the expense to be borne by the Company if the Fair Market
Value as determined by such appraiser equals or exceeds the Fair Market Value
as determined by the Board of Directors, and by the Holder if the Fair Market
Value as determined by such appraiser is less than the Fair Market Value as
determined by the Board of Directors.


          2.
Reservation of Shares. The Company hereby agrees that at all times there
shall be reserved for issuance and delivery upon exercise of this Warrant such
number of authorized but unissued Warrant Shares as will be sufficient to
permit the full exercise of this Warrant. The Company covenants and agrees that
all Warrant Shares shall be duly authorized and, upon issuance in accordance
herewith, shall be validly issued, fully paid and nonassessable, and free of
all liens, security interests, charges and other encumbrances or restrictions
upon sale and free and clear of preemptive or similar rights, except for
restrictions on transfer provided for herein or under applicable federal and
state securities laws.


          3.
Adjustment of Exercise Price and Number of Warrant Shares for Equity Events.
The Exercise Price and the total number of Warrant Shares shall be subject to
adjustment from time to time upon the occurrence of certain events described in
this Section 3.


                    3.1.
Dividends; Subdivision or Combination of Stock.


3






                         (a)
In the case the Company shall at any time after the date hereof (i) declare a
dividend or make a distribution on Common Stock payable in Common Stock, (ii)
subdivide or split the outstanding Common Stock, (iii) combine or reclassify
the outstanding Common Stock into a smaller number of shares, or (iv) issue any
shares of its capital stock in a reclassification of Common Stock (including
any such reclassification in connection with a consolidation or merger in which
the Company is the continuing corporation), the Exercise Price in effect at the
time of the record date for such dividend or distribution or of the effective
date of such subdivision, split, combination or reclassification shall be
proportionately adjusted so that the exercise of this Warrant after such time
shall entitle the holder to receive the aggregate number of shares of Common Stock
or other securities of the Company (or shares of any security into which such
shares of Common Stock have been reclassified pursuant to clause 3.1(a)(iii) or
3.1(a)(iv) above) which, if this Warrant had been exercised immediately prior
to such time, such holder would have owned upon such exercise and been entitled
to receive by virtue of such dividend, distribution, subdivision, split,
combination or reclassification. Such adjustment shall be made successively
whenever any event listed above shall occur.


                         (b)
In the event that, at any time as a result of the provisions of this paragraph
3.1 the Holder of this Warrant upon subsequent exercise shall become entitled
to receive any shares of capital stock of the Company other than Common Stock,
the number of such other shares so receivable upon exercise of this Warrant
shall thereafter be subject to adjustment from time to time in a manner and on
terms as nearly equivalent as practicable to the provisions contained herein.


                         (c)
Upon each adjustment of the Exercise Price as a result of the calculations made
in paragraphs 3.1(a) hereof, the number of Warrant Shares for which this
Warrant is exercisable immediately prior to the making of such adjustment shall
thereafter evidence the right to purchase, at the adjusted Exercise Price, that
number of Warrant Shares obtained by (i) multiplying the number of Warrant
Shares covered by this Warrant immediately prior to this adjustment of the
number of Warrant Shares by the Exercise Price in effect immediately prior to
such adjustment of the Exercise Price and (ii) dividing the product so obtained
by the Exercise Price in effect immediately after such adjustment of the
Exercise Price.


                    3.2
Notice of Adjustment. Upon any adjustment of the Exercise Price or any
increase or decrease in the number of Warrant Shares, the Company shall give
written notice thereof, by first class mail postage prepaid, addressed to the
registered Holder of this Warrant at the address of such Holder as shown on the
books of the Company. The notice shall be prepared by the independent public
accountants then auditing the books of the Company and signed by the Company’s
Chief Financial Officer and the Company’s Secretary and shall state the
Exercise Price resulting from such adjustment and the adjusted number of
Warrant Shares purchasable at such price upon the exercise of this Warrant,
setting forth in reasonable detail the method of calculation and the facts
requiring such adjustment upon which such calculation is based. A copy of such
notice shall be kept in the custody of the Company’s Secretary or Assistant
Secretary at its principal office and with its stock transfer agent. 


          4.
Consolidation, Merger, or Sale of Assets. In case of any consolidation
of the Company with, or merger of the Company into, any other person, any
merger of another person into the Company (other than a merger which does not
result in any reclassification, conversion, 


4






exchange or
cancellation of outstanding shares of Common Stock) or any sale or transfer of
all or substantially all of the assets of the Company or of the person formed
by such consolidation or resulting from such merger or which acquires such
assets, as the case may be, the Holder shall have the right thereafter to
exercise this Warrant for the kind and amount of securities, cash and other
property receivable upon such consolidation, merger, sale or transfer by a
holder of the number of shares of Common Stock for which this Warrant may have
been exercised immediately prior to such consolidation, merger, sale or
transfer. Adjustments for events subsequent to the effective date of such a
consolidation, merger and sale of assets shall be as nearly equivalent as may
be practicable to the adjustments provided for in this Warrant. In any such
event, effective provisions shall be made in the certificate or articles of
incorporation of the resulting or surviving corporation, in any contract of
sale, conveyance, lease or transfer, or otherwise so that the provisions set
forth herein for the protection of the rights of the Holder shall thereafter
continue to be applicable; and any such resulting or surviving corporation
shall expressly assume the obligation to deliver, upon exercise, such shares of
stock, other securities, cash and property. The provisions of this paragraph 4
shall similarly apply to successive consolidations, mergers, sales, leases or
transfers.


          5.
No Voting or Dividend Rights. Nothing contained in this Warrant shall be
construed as conferring upon the Holder hereof the right, prior to the exercise
of the Warrant, to vote or to consent to receive notice as a shareholder of the
Company on any other matters or any rights whatsoever as a shareholder of the
Company. No dividends or interest shall be payable or accrued in respect of
this Warrant or the interest represented hereby or the shares purchasable
hereunder until, and only to the extent that, this Warrant shall have been
exercised.


          6.
Compliance with Securities Act; Warrant Transfer; Disposition of Warrant
Shares or Common Stock.


                    6.1
Compliance with Securities Act. The Holder of this Warrant, acceptance
hereof, agrees that this Warrant is being acquired for investment and that it
will not offer, sell, or otherwise dispose of this Warrant or any Warrant
Shares except under circumstances which will not result in a violation of the
Securities Act of 1933, as amended (the “Act”), or any applicable state
securities laws. All Warrant Shares shall, subject to Section 6.3, be stamped
or imprinted with a legend in substantially the following form:


          THESE
SECURITIES HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS
AMENDED (THE “ACT”) OR THE SECURITIES OR BLUE SKY LAWS OF ANY STATE. THEY MAY
NOT BE OFFERED OR SOLD IN THE ABSENCE OF A REGISTRATION STATEMENT IN EFFECT
WITH RESPECT TO THE SECURITIES UNDER SUCH ACT OR AN EXEMPTION FROM THE
REGISTRATION REQUIREMENTS OF SUCH ACT.


UNTIL ________, 2008 NEITHER ANDERSON &
STRUDWICK, INCORPORATED NOR ANY ASSIGNEE OF ALL OR A PORTION OF THE RIGHTS
PURSUANT TO THIS WARRANT MAY SELL, TRANSFER, ASSIGN, PLEDGE OR HYPOTHECATE ANY
OF ITS RIGHTS PURSUANT TO THIS WARRANT OTHER THAN TO BONA FIDE OFFICERS OF
ANDERSON & STRUDWICK, INCORPORATED.


5






                    6.2
Warrant Transfer. This Warrant and the rights evidenced hereby shall
inure to the benefit of and be binding upon the successors of the Company and
the successors and assigns of Holder. The provisions of this Warrant are
intended to be for the benefit of all Holders from time to time of this
Warrant, and shall be enforceable by any such Holder. The Warrant may be sold,
transferred, assigned, pledged or hypothecated by A&S prior to _______,
2008 only to bona fide officers of A&S, who in turn shall be subject
to the same restriction, contained in this Section 6.2.


                    6.3
Disposition of Warrant Shares and Common Stock. With respect to any
offer, sale, or other disposition of the Warrant or any Warrant Shares prior to
the registration of such securities, the Holder hereof and each subsequent
Holder of this Warrant agrees to give written notice to the Company prior
thereto, describing briefly the manner thereof, together with a written opinion
of such Holder’s counsel, if reasonably requested by the Company, to the effect
that such offer, sale or other disposition may be effected without registration
under the Act or any applicable state law then in effect of such Warrant or
Warrant Shares, as the case may be, or that such Warrant or Warrant Shares are
no longer subject to the restrictive legends referred to herein. Upon receiving
such written notice and opinion, the Company, as promptly as practicable, shall
notify such Holder that such Holder may sell or otherwise dispose of such
Warrant or Warrant Shares, all in accordance with the terms of the notice
delivered to the Company. If a determination has been made pursuant to this
Section 6.3 that the opinion of the counsel for the Holder is not reasonably
satisfactory to the Company, the Company shall so notify the Holder promptly
after such determination has been made and provide a written legal opinion of
the Company’s outside counsel explaining the reasons for such determination.
Notwithstanding the foregoing, such Warrant or Warrant Shares may be offered,
sold or otherwise disposed of in accordance with Rule 144 under the Act,
provided that the Company shall have been furnished with such information as
the Company may request to provide reasonable assurance that the provisions of
Rule 144 have been satisfied. Each certificate representing the Warrant or
Warrant Shares thus transferred (except a transfer pursuant to Rule 144) shall
bear a legend as to the applicable restrictions on transferability in order to
insure compliance with the Act, unless in the aforesaid opinion of counsel for
the Holder, such legend is not required in order to insure compliance with the
Act. If appropriate in the circumstances, the Company may issue stop transfer
instructions to its transfer agent in connection with such restrictions. 


          7.
Modification and Waiver. This Warrant and any provision hereof may be
amended, changed, waived, discharged, or terminated only by an instrument in
writing signed by the party against which enforcement of the same is sought.
Except as expressly provided herein, no failure or delay by either party in
exercising any right, power or privilege hereunder shall operate as a waiver
thereof nor shall any single or partial exercise thereof preclude any other or
further exercise thereof or the exercise of any other right, power or
privilege. The rights and remedies herein provided shall be cumulative and not
exclusive of any rights or remedies provided by law. 


          8.
Notices. Any notice, request, or other document required or permitted to
be given or delivered to the Holder hereof or the Company shall be in writing
and shall be given to the Holder or the Company at its address or telecopier
number set forth below or such other address or telecopier number as either may
from time to time provide to the other.


6






	
 

	
 


	
Company:

	
Velocity
  Asset Management, Inc.


	
 

	
1800 Route
  34 North


	
 

	
Building 4,
  Suite 4044


	
 

	
Wall, New
  Jersey 07719


	
 

	
Attention:
  John C. Kleinert


	
 

	
 


	
Holder:

	
Anderson
  & Strudwick, Incorporated


	
 

	
707 East
  Main Street


	
 

	
20th
  Floor


	
 

	
Richmond,
  Virginia 23219


	
 

	
Attention:
  L. McCarthy Downs, III





          Each
such notice, request or other document shall be effective (i) if given by
telecopy, when such telecopy is properly transmitted and the intended recipient
confirms receipt of such telecopy or (ii) if given by any other means, when
received at the address specified herein or, subsequently notified to the other
party in writing.


          9.
Covenants of the Company. 


                    9.1
If at any time the Company shall declare any dividend upon its Common Stock
payable in stock or make any special dividend or other distribution to the
holders of its Common Stock;


                    9.2
If at any time the Company shall offer for subscription pro rata to the holders of
its Common Stock any additional shares of stock of any class or other rights;


                    9.3
If at any time there shall be any capital reorganization or reclassification of
the capital stock of the Company, or consolidation or merger of the Company
with, or sale of all or substantially all of its assets to, another
corporation; or


                    9.4
If at any time there shall be a voluntary or involuntary dissolution,
liquidation, or winding-up of the Company; 


then, in any
one or more of said cases, the Company shall give, by first class mail, postage
prepaid, addressed to the Holder of this Warrant at the address of such Holder
as shown on the books of the Company, (a) at least ten (10) days’ prior written
notice of the date on which the books of the Company shall close or a record
shall be taken for such dividend, distribution, or subscription rights or for
determining rights to vote in respect of any such reorganization,
reclassification, consolidation, merger, sale, dissolution, liquidation, or
winding-up, and (b) in the case of any such reorganization, reclassification,
consolidation, merger, sale, dissolution, liquidation, or winding-up, at least
ten (10) days’ prior written notice of the date when the same shall take place.
Any notice given in accordance with the foregoing clause (a) shall also
specify, in the case of any such dividend, distribution, or subscription
rights, the date on which the holders of Common Stock shall be entitled
thereto. Any notice given in accordance with the foregoing clause (b) shall
also specify the proposed date of such reorganization, reclassification,
consolidation, merger, sale, dissolution, liquidation, winding-up, or
conversion, as the case may be. 


7






                    9.5
The Company hereby covenants that within 10 business days of the filing of the
Company’s 2007 Annual Report on Form 10-KSB, it shall file a registration
statement on Form S-3 with the Commission covering the resale of the Warrant
Shares. The Company also covenants that it will use its best efforts to take
all steps necessary to obtain effectiveness of such registration statement and
list the Warrant Shares on the American Stock Exchange.


          10.
Governing Law. This Warrant shall be construed and enforced in
accordance with, and the rights of the parties shall be governed by, the laws
of the State of Delaware.


          11.
Lost Warrants. The Company represents and warrants to the Holder hereof
that upon receipt of evidence reasonably satisfactory to the Company of the
loss, theft, destruction, or mutilation of this Warrant and, in the case of any
such loss, theft or destruction, upon receipt of an indemnity reasonably
satisfactory to the Company, or in the case of any such mutilation upon
surrender and cancellation of such Warrant, the Company, at its expense, will
make and deliver a new Warrant, of like tenor and date, in lieu of the lost,
stolen, destroyed or mutilated Warrant.


          12.
Fractional Shares. No fractional shares or scrip representing fractional
shares shall be issued upon exercise of this Warrant and in lieu thereof the
Company shall pay the Holder an amount in cash equal to such fraction
multiplied by the Fair Market Value (as such term is defined in Section 1.2
hereof) of a Warrant Share on the date of exercise of this Warrant. 


          13.
No Impairment. The Company will not, by charter amendment or by
reorganization, transfer of assets, consolidation, merger, dissolution, issue
or sale of securities, or any other voluntary action, avoid or seek to avoid
the observance or performance of any terms of this Warrant, but will at all
times in good faith assist in the carrying out of all such terms and in the
taking of all such action as may be necessary or appropriate in order to
protect the rights of the Holder against impairment. Upon the request of the
Holder, the Company will at any time during the period this Warrant is
outstanding acknowledge in writing, in form satisfactory to Holder, the
continued validity of this Warrant and the Company’s obligations hereunder.


8






          IN
WITNESS WHEREOF, the Company has caused this Warrant
to be duly executed by its officer, thereunto duly authorized as of this __ day
of December, 2007.


	
 

	
 

	
 


	
 

	
VELOCITY ASSET MANAGEMENT, INC.

	
 


	
 

	
 

	
 


	
 

	
By:

	
 


	
 

	


	
 


	
 

	
Name:

	
 


	
 

	


	
 


	
 

	
Title:

	
 


	
 

	


	
 





Accepted as of the __ day of
December, 2007


	
 

	
 

	
 


	
ANDERSON & STRUDWICK, INCORPORATED


	
 

	
 


	
By: 

	
 

	
 


	
 

	


	
 


	
 

	
L. McCarthy Downs, III

	
 


	
 

	
Senior Vice Preident      

	
 





9






VELOCITY
ASSET MANAGEMENT, INC.


FORM
OF SUBSCRIPTION


To Velocity
Asset Management, Inc.:


          The
undersigned, the holder of Warrant Number ______, hereby irrevocably elects to
exercise the purchase right represented by such Warrant, and to purchase
thereunder _________* shares of Common Stock, $0.001 par value per share, of
Velocity Asset Management, Inc. (the “Company”).


          As
payment therefor, the undersigned (mark one):


          ______
herewith makes a payment in cash or by check of U.S. $___________; or


          ______
requests to utilize the cashless exercise provision in Section 1.2 of the Warrant
Agreement to exercise.


          Further,
the undersigned requests that the certificate or certificates for such shares
be issued in the name of and delivered to the undersigned. The undersigned
acknowledges and agrees that shares to be received by the undersigned are
subject to the restrictions on transfer set forth in the Warrant.


	
 

	
 

	
 

	
 


	
 

	
 

	



	
 

	
 

	
(Signature)


	
 

	
 

	
 


	
 

	
 

	



	
 

	
 

	
 


	
 

	
 

	



	
 

	
 

	
(Address)


	
 

	
 

	
 


	
Dated: 

	
 

	
 

	
 


	
 

	


	
 

	
 





          *Insert
here the number of shares set forth on the face of the Warrant (or, in the case
of a partial exercise, the portion thereof as to which the Warrant is being
exercised), in either case without making any adjustment (which adjustment will
be made in the issuance of such Common Stock, other stock, securities,
property, or cash) for additional shares of Common Stock or any other stock or
other securities or property or cash that, pursuant to the adjustment
provisions of the Warrant, is deliverable upon exercise.


10






FORM
OF ASSIGNMENT


(To be signed only upon transfer of Warrant)


          For
value received, the undersigned hereby sells, assigns and transfers unto
________________ the right represented by Warrant Number ________ to purchase
________ shares of Common Stock, $0.001 par value per share, of Velocity Asset
Management, Inc. to which the attached Warrant related, and appoints
________________ as Attorney-in-Fact to transfer such right on the books of
Velocity Asset Management, Inc. with the full power of substitution in the
premises.


          The
undersigned represents and warrants that the transfer of the attached Warrant
is permitted by the terms of the Warrant Agreement pursuant to which the
attached Warrant has been issued, and the transferee hereof, by acceptance of
this Assignment, agrees to be bound by the terms of the Warrant Agreement with
the same force and effect as if a signatory thereto.


	
 

	
 

	
 

	
 


	
 

	
 

	



	
 

	
 

	
(Signature)


	
 

	
 

	
 


	
 

	
 

	



	
 

	
 

	
 


	
 

	
 

	



	
 

	
 

	
(Address)


	
 

	
 

	
 


	
Dated: 

	
 

	
 

	
 


	
 

	


	
 

	
 


	
 

	
 

	
 


	
 

	
 

	



	
 

	
 

	
(Signature)


	
 

	
 

	
 


	
 

	
 

	



	
 

	
 

	
 


	
 

	
 

	



	
 

	
 

	
(Address)





11