State Hawaii Guardianship Form – Fill Out and Use This PDF

The State Hawaii Guardianship Form serves as an official document for establishing guardianship, outlining the responsibilities and legal authority of the appointed guardian. It is used in circumstances where an individual is unable to take care of themselves or manage their affairs. To ensure the welfare of the individuals involved, it is crucial to accurately complete and submit this form.

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State Hawaii Guardianship Form PDF Details

Navigating the intricacies of legal forms in Hawaii, particularly when it involves guardianship, can often feel overwhelming. The State of Hawaii Guardianship form is a critical document used when one needs to establish a legal guardianship. Whether it's for a minor child or an incapacitated adult, this form facilitates a way for a responsible party to make decisions on behalf of someone unable to do so. From appointing guardians to detailing the specific powers granted to them, the form covers a broad scope to ensure all aspects of guardianship are addressed comprehensively. It serves as a legal tool to protect the welfare and rights of those who cannot fend for themselves, outlining the duties and limitations of the role of a guardian. The process to complete and submit this form involves various steps, including understanding the criteria for guardianship, filling out the form accurately, and navigating the judicial system to get the guardianship approved. The importance of this form cannot be overstated, as it not only grants legal authority but also outlines the guardian's responsibilities to ensure the well-being and protection of the person under guardianship.

Question	Answer
Form Name	State Hawaii Guardianship Form
Form Length	14 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	3 min 30 sec
Other names	hawaii adoption forms, temporary guardianship form, temporary guardianship, hawaii probate court forms

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ＷＲ＃ＷＫＨ＃ＫＲＱＲＵＤBLＨ＃ＳＵＨＶＬＧＬＱＪ＃ＭUＧＪＨ＃ＲＩ＃ＷＫＨ＃ＩＤＰＬL＼＃ＦＲUＵＷ＝＃

＃	Ｓｈｗｌｗｌｒｑｈｕ＃ｕｈｖｓｈｆｗｉｘｏｏ｜＃ｄｏｏｈｊｈｖ＃ｄｖ＃ｉｒｏｏｒｚｖ＝＃
＃	＃	４１＃	Ｗｋｌｖ＃ｓｈｗｌｗｌｒｑ＃ｌｖ＃ｉｒｕ＃ｗｋｈ＃ｄｓｓｒｌｑｗｐｈｑｗ＃ｒｉ＃ｄ＃Ｊｘｄｕｇｌｄｑ＃ｒｉ＃ｗｋｈ＃ｓｈｕｖｒｑ＃ｒｉ＃

ｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂ＃ｚｋｒ＃ｌｖ＃ｄ＃ｐｌｑｒｕ＃ｕｈｖｌｇｌｑｊ＃ｒｕ＃ｓｕｈｖｈｑｗ＃ｚｌｗｋｌｑ＃ｗｋｈ＃ｍｘｕｌｖｇｌｆｗｌｒｑ＃ｒｉ＃ｗｋｌｖ＃Ｆｒｘｕｗ／＃ｓｘｕｖｘｄｑｗ＃ｗｒ＃Ｋｄｚｄｌｌ＃Ｕｈｙｌｖｈｇ＃Ｖｗｄｗｘｗｈｖ＃＋Ｋ１Ｕ１Ｖ１，＃Ｖｈｆｗｌｒｑ＃８９３＝８０４３５１＃

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＃	＃	５１＃	Ｗｋｈ＃ｉｒｏｏｒｚｌｑｊ＃ｌｑｉｒｕｐｄｗｌｒｑ＃ｆｒｑｆｈｕｑｖ＃ｗｋｈ＃ｄｅｒｙｈ０ｑｄｐｈｇ＃ｐｌｑｒｕ＝＃
Ｑｄｐｈ＝＃
Ｄｇｇｕｈｖｖ＝＃
Ｇｄｗｈ＃ｄｑｇ＃Ｓｏｄｆｈ＃ｒｉ＃Bｌｕｗｋ＝＃
Ｖｒｆｌｄｏ＃Ｖｈｆｘｕｌｗ｜＃Ｑｘｐｅｈｕ＝＃				＃	Ｖｈ｛＝＃＃	＃	＃	＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃Ｄｊｈ＝＃
＃	＃	＃
＃

2FG-02 (Rev. 8/11)

	CommonLook®	５Ｉ０Ｓ０６；８
	508 Certified	５Ｉ０Ｓ０６；８
	508 Certified

		６１＃	Ｖｘｆｋ＃ｄｓｓｒｌｑｗｐｈｑｗ＃ｌｖ＃ｑｈｆｈｖｖｄｕ｜＃ｅｈｆｄｘｖｈ＃ｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂ＃
ｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂ＃
ｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂ１＃
		７１	Ｗｋｈ＃ｉｒｏｏｒｚｌｑｊ＃ｓｈｕｖｒｑ＃ｌｖ＃ｖｘｌｗｄｅｏｈ＃ｗｒ＃ｅｈ＃ｄｓｓｒｌｑｗｈｇ＃ｊｘｄｕｇｌｄｑ＃ｒｉ＃ｗｋｈ＃ｓｈｕｖｒｑ＃ｒｉ＃
ｗｋｈ＃ｐｌｑｒｕ１＃
	Ｑｄｐｈ＝＃＃		＃	＃	＃	＃	＃	Ｇｄｗｈ＃ｒｉ＃Bｌｕｗｋ＝＃
	Ｄｇｇｕｈｖｖ＝＃
	Ｕｈｏｄｗｌｒｑｖｋｌｓ＃ｗｒ＃Ｐｌｑｒｕ＝＃
	Ｒｆｆｘｓｄｗｌｒｑ＝＃		＃	＃	＃	＃	＃	Ｐｒｑｗｋｏ｜＃Ｊｕｒｖｖ＃Ｌｑｆｒｐｈ＝＃
	Ｐｄｕｌｗｄｏ＃Ｖｗｄｗｘｖ＝＃			＃	＃	＃	＃	Ｐｄｌｇｈｑ＃Ｑｄｐｈ＝＃
	Ｑｘｐｅｈｕ＃ｒｉ＃ｆｋｌｏｇｕｈｑ＝＃			＃	＃	＃	＃	Ｑｘｐｅｈｕ＃ｒｉ＃Ｇｈｓｈｑｇｈｑｗｖ＝＃
	Ｆｕｌｐｌｑｄｏ＃ｆｒｑｙｌｆｗｌｒｑｖ＝＃＃				＃	＃	＃	Ｖｒｆｌｄｏ＃Ｖｈｆｘｕｌｗ｜＃Ｑｘｐｅｈｕ＝＃
Ｗｈｖｗｄｐｈｑｗｄｕ｜＃Ｑｒｐｌｑｄｗｌｒｑ＝＃				＃	＾＃｀＃＼ｈｖ＃＃＃＃＃＃＃＾＃｀＃Ｑｒ＃
＃	＃
＃	＃	８１＃	Ｗｋｈ＃ｐｌｑｒｕ＃ｋｄｖ＃ｗｋｈ＃ｉｒｏｏｒｚｌｑｊ＃ｏｌｙｌｑｊ＃ｏｈｊｄｏ＃ｕｈｏｄｗｌｙｈｖ＝＃
＃	＃
＃	＃	＃	＋ｄ，＃	Lｈｊｄｏ＃ｓｄｕｈｑｗｖ＝＃
＃	＃	＃	＃	Ｑｄｐｈ＃ｒｉ＃ｉｄｗｋ＃ｈｕ＝＃＃
＃	＃	＃	＃	Ｄｇｇｕｈｖｖ＝＃
＃	＃	＃	＃	Ｆｌｗ｜／＃Ｖｗｄｗｈ／＃］＃ＬＳ＝＃			＃
＃	＃	＃	＃	Ｑｄｐｈ＃ｒｉ＃ｐｒｗ＃ｋｈ＃ｕ＝＃
＃	＃	＃	＃	Ｄｇｇｕｈｖｖ＝＃
＃	＃	＃	＃	Ｆｌｗ｜／＃Ｖｗｄｗｈ／＃］＃ＬＳ＝＃			＃
＃	＃
＃	＃	＃	＋ｅ，＃	Lｈｊｄｏ＃Ｓｄｗｈｕｑｄｏ＃ｊｕｄｑｇｓｄｕｈｑｗｖ＝＃
＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃Ｑｄｐｈ＃ｒｉ＃ｊｕｄｑｇｉｄｗｋｈｕ＝＃
＃	＃	＃	＃	Ｄｇｇｕｈｖｖ＝＃
＃	＃	＃	＃	Ｆｌｗ｜／＃Ｖｗｄｗｈ／＃］＃ＬＳ＝＃			＃	＃
＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃Ｑｄｐｈ＃ｒｉ＃ｊｕｄｑｇｐｒｗｋｈｕ＝＃
＃	＃	＃	＃	Ｄｇｇｕｈｖｖ＝＃
＃	＃	＃	＃	Ｆｌｗ｜／＃Ｖｗｄｗｈ／＃］＃ＬＳ＝＃			＃	＃
＃

2FG-02 (Rev. 8/11)

	CommonLook®	５Ｉ０Ｓ０６；８
	508 Certified	５Ｉ０Ｓ０６；８
	508 Certified

＃	＃	＃	＋ｆ，＃	＃Ｐｄｗｈｕｑｄｏ＃ｊｕｄｑｇｓｄｕｈｑｗｖ＝＃
＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃Ｑｄｐｈ＃ｒｉ＃ｊｕｄｑｇｉｄｗｋｈｕ＝＃
＃	＃	＃	＃	Ｄｇｇｕｈｖｖ＝＃
＃	＃	＃	＃	Ｆｌｗ｜／＃Ｖｗｄｗｈ／＃］ＬＳ＝＃
＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃Ｑｄｐｈ＃ｒｉ＃ｊｕｄｑｇｐｒｗｋｈｕ＝＃
＃	＃	＃	＃	Ｄｇｇｕｈｖｖ＝＃
＃	＃	＃	＃	Ｆｌｗ｜／＃Ｖｗｄｗｈ／＃］ＬＳ＝＃
＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃							＃
			＋ｇ，＃Ｓｈｕｖｒｑ＃ｚｋｒ＃ｋｄ＃ｖ＃ｗｋｈ＃ｓｕｌｑｆｌｓｄｏ＃ｆｄｕｈ＃ｄｑｇ＃ｆｘｖｗｒｇ｜＃ｒｉ＃ｗｋｈ＃ｐｌｑｒｕ＃ｇｘｕｌｑｊ＃ｗｋｈ＃ｖｌ｛ｗ｜＃
ｇｄ｜ｖ＃ｓｕｈｆｈｇｌｑｊ＃ｗｋｈ＃ｉｌｏｌｑｊ＃ｒｉ＃ｗｋｈ＃ｓｈｗｌｗｌ＃ｒｑ＝
＃	＃	＃	＃	Ｑｄｐｈ＝	＃
＃	＃	＃	＃	Ｄｇｇｕ＃ｈｖｖ＝	＃	＃
＃	＃	＃	＃	Ｆｌｗ｜／Ｖｗｄｗｈ／］＃ＬＳ＝		＃
				＃
＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃９＃＃１＃＃＃＃＃＃＃＃＃＃Ｊｘｄｕｇｌｄｑ＃ｒｉ＃ｗｋｈ＃ｐｌｑｒｕﾶｖ＃ｓｕｒｓｈｕｗ｜／＃ｌｉ＃ｄｑ｜＝＃
＃	＃	＃	Ｑｄｐｈ＝	＃		＃
＃			Ｄｇｇｕｈｖｖ＝＃
＃	＃		Ｆｌｗ｜／＃Ｖｗｄｗｈ／＃］ＬＳ＝＃				＃
			Ｊｘｄｕｇｌｄｑｖｋｌｓ＃Ｉｌｏｈ＃Ｑｘｐ＃ｅｈｕ＝＃				Ｊ１＃ｂｂｂｂｂｂｂｂｂｂｂｂｂｂ＃ｂｂｂｂｂｂ＃
		：１＃	Ｗｋｈ＃ｉｒｏ＃ｏｒｚｌｑｊ＃ｌｑｗｈｕｈｖｗｈｇ＃ｓｈｕｖｒｑ＋ｖ，＃＋ｋｄｖ２ｋｄｙｈ，＃ｉｌｏｈｇ＃ｚｌｗｋ＃ｗｋｈ＃Ｆｒｘｕｗ＃ｄ＃
＃ｕ＃ｈ＃＃ｔ＃＃ｘ＃＃ｈ＃ｖ＃＃ｗ＃＃＃ｉ＃ｒ＃＃ｕ＃＃＃ｑ＃＃ｒ＃＃ｗ＃ｌ＃ｆ＃＃ｈ＃＃ｅ＃＃ｈ＃＃ｉ＃＃ｒ＃ｕｈ＃ｈｑｗｕ｜＃ｒｉ＃ｄｑ｜＃ｒｕｇｈｕ＃ｌｑ＃ｄ＃ｓｕｒｗｈｆｗｌｙｈ＃ｓｕｒｆｈｈｇｌｑｊ＃ｕｈｏｄｗｌｙｈ＃ｗｒ＃ｗｋｈ＃ｄｅｒｙｈ０
＃ｑ＃＃ｄ＃ｐ＃＃＃ｈ＃＃ｇ＃＃＃＃ｓ＃＃ｈ＃＃ｕ＃ｖ＃＃ｒ＃＃ｑ＃＃＝＃＃＃＃＃＃＃＃＃＃＃＃＃＃
＃	＃	＃	Ｑｄｐｈ＝
＃			Ｄｇｇｕｈｖｖ＝＃
＃	＃		Ｆｌｗ｜／＃Ｖｗｄｗｈ／＃］ＬＳ＝＃
			Ｕｈｏｄｗｌｒｑｖｋｌｓ＃ｗｒ＃Ｖｘｅｍｈｆｗ＃ｒｉ＃ｗｋｈ＃Ｓｈｗｌｗｌｒｑ＝＃
＃		；１＃	Ｓｈｗｌｗｌｒｑｈｕ＃ｋｄｖ＃ｐｄｇｈ＃ｌｑｔｘｌｕ｜＃ｒｉ＃ｄｏｏ＃ｕｈｄｖｒｑｄｅｏｈ＃ｖｒｘｕｆｈｖ＃ｄｖ＃ｗｒ＃ｗｋｈ＃ｑｄｐｈｖ＃ｄｑｇ＃

＃ｄｇｇｕｈｖｖｈｖ＃ｒｉ＃ｓｈｕｖｒｑｖ＃ｌｑ＃ｓｄｕｄｊｕｄｓｋｖ＃８＋ｄ，＃ｗｋｕｒｘｊｋ＃８＋ｇ，＃ｄｑｇ＃ｓｄｕｄｊｕｄｓｋ＃９／＃ｄｑｇ＃ｋｄｖ＃ｑｒｗ＃ｅｈｈｑ＃ｄｅｏｈ＃ｗｒ＃ｒｅｗｄｌｑ＃ｌｑｉｒｕｐｄｗｌｒｑ＃ｒｗｋｈｕ＃ｗｋｄｑ＃ｄｖ＃ｄｏｏｈｊｈｇ＃ｌｑ＃ｖｄｌｇ＃ｓｄｕｄｊｕｄｓｋｖ１＃

2FG-02 (Rev. 8/11)
CommonLook®
508 Certified	５Ｉ０Ｓ０６；８

＃＃

2FG-02 (Rev. 8/11)

５Ｉ０Ｓ０６；

＃＃

＃

Ｓｈｗｌｗｌｒｑｈｕ＃Ｓｕｒ＃Ｖｈ＃

＃

ＬＱ＃ＷＫＨ＃ＩＤＰＬL＼＃ＦＲUＵＷ＃ＲＩ＃ＷＫＨ＃ＶＨＦＲＱＧ＃ＦＬＵＦUＬＷ＃

＃

ＶＷＤＷＨ＃ＲＩ＃ＫＤＺＤＬＬ＃

＃

＃	＃	＃	＃	＃	＃	，＃	ＩＦ０Ｊ＃Ｑｒ１＃ｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂ＃
						，＃
Ｌｑ＃ｗｋｈ＃Ｐｄｗｗｈｕ＃ｒｉ＃ｗｋｈ＃Ｊｘｄｕｇｌｄｑｖｋｌｓ＃＃						，＃	ＱＲＷＬＦＨ＃ＲＩ＃ＫＨＤＵＬＱＪ＃
						，＃	＃
					＃	，＃
＃	＃ｒｉ＃				＃	，＃
					＃	，＃
＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃，＃
ｅｒｕｑ＃ｒｑ＃ｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂ＃					＃	，＃
						，＃
＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃Ｄ＃Ｐｌｑｒｕ＃Ｓｈｕｖｒｑ１＃						＃＃，＃

＃

ＱＲＷＬＦＨ＃ＲＩ＃ＫＨＤＵＬＱＪ＃

＃

ＶＷＤＷＨ＃ＲＩ＃ＫＤＺＤＬＬ＃

ＷＲ＝＃		＃
＃
＃
＃	＃	＃	＃	＃	＃	＃	＃	＃
＃	＃	Ｗｋｈ＃ｓｈｗｌｗｌｒｑ＃ｉｒｕ＃ｄｓｓｒｌｑｗｐｈｑｗ＃ｒｉ＃ｄ＃ｊｘｄｕｇｌｄｑ＃ｒｉ＃ｗｋｈ＃ｓｈｕｖｒｑ＃ｒｉ＃ｗｋｈ＃ｄｅｒｙｈ０ｑｄｐｈｇ＃

ｐｌｑｒｕ＃ｓｈｕｖｒｑ＃ｚｌｏｏ＃ｅｈ＃ｋｈｄｕｇ＃ｌｑ＃ｗｋｈ＃Ｉｄｐｌｏ｜＃Ｆｒｘｕｗ／＃５４７８＃Ｐｄｌｑ＃Ｖｗｕｈｈｗ／＃Ｚｄｌｏｘｎｘ／＃Ｐｄｘｌ／＃Ｋｄｚｄｌｌ＃

＜９：＜６／＃ｒｑ＃			／＃ｄｗ＃	ｌｑ＃Ｆｒｘｕｗｕｒｒｐ＃６B１＃
＃
＃	＃	Ｌｉ＃｜ｒｘ＃ｉｄｌｏ＃ｗｒ＃ｄｓｓｈｄｕ＃ｄｗ＃ｗｋｈ＃ｋｈｄｕｌｑｊ／＃ｒｕ＃ｗｒ＃ｉｌｏｈ＃ｄｑ＃ｄｑｖｚｈｕ＃ｚｌｗｋ＃ｗｋｈ＃Ｒｉｉｌｆｈ＃ｒｉ＃ｗｋｈ＃

Ｆｋｌｈｉ＃Ｆｏｈｕｎ＃ｒｉ＃ｗｋｈ＃Ｖｈｆｒｑｇ＃Ｆｌｕｆｘｌｗ＃ｄｗ＃５４７８＃Ｐｄｌｑ＃Ｖｗｕｈｈｗ／＃Ｚｄｌｏｘｎｘ／＃Ｋｄｚｄｌｌ＃＜９：＜６／＃ｅｈｉｒｕｈ＃ｗｋｈ＃ｇｄｗｈ＃ｒｉ＃ｗｋｈ＃ｋｈｄｕｌｑｊ／＃ｉｘｕｗｋｈｕ＃ｄｆｗｌｒｑ＃ｐｄ｜＃ｅｈ＃ｗｄｎｈｑ＃ｌｑ＃ｗｋｌｖ＃ｆｄｘｖｈ＃ｚｌｗｋｒｘｗ＃ｉｘｕｗｋｈｕ＃ｑｒｗｌｆｈ＃ｗｒ＃｜ｒｘ１＃

＃	＃	＃
2FG-02 (Rev. 8/11)
CommonLook®		５Ｉ０Ｓ０６；８
508 Certified		５Ｉ０Ｓ０６；８

＃＃ THIS SUMMONS SHALL NOT BE PERSONALLY DELIVERED

BETWEEN 10:00 P.M. AND 6:00 A.M. ON PREMISES NOT OPEN TO THE PUBLIC,

UNLESS A JUDGE OF THE DISTRICT OR CIRCUIT COURTS PERMITS, IN WRITING ON THE SUMMONS, PERSONAL DELIVERY DURING THOSE HOURS. FAILURE TO OBEY THE SUMMONS MAY RESULT IN AN ENTRY OF A DEFAULT AND DEFAULT JUDGMENT AGAINST THE PERSONS SUMMONED.＃

＃

ｋｈｄｕｌｑｊ＃ｒｕ＃ｄｓｓｒｌｑｗｐｈｑｗ＃ｇｄｗｈ１＃

＃
＃	＃	ＧＤＷＨＧ＝＃ｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂ／＃Ｐｄｘｌ／＃Ｋｄｚｄｌｌ／＃ｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂ＃
＃
＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃ｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂ＃					＃
＃	＃	＃	＃	＃＃＃＃＃＃＃＃＃＃＃＃ＦLＨＵK＃ＲＩ＃ＷＫＨ＃ＤBＲVＨ０ＵＨＩＨＵＨＱＦＨＧ＃ＦＲUＵＷ＃
＃
＃

Ｌｑ＃ｄｆｆｒｕｇｄｑｆｈ＃ｚｌｗｋ＃ｗｋｈ＃Ｄｐｈｕｌｆｄｑｖ＃ｚｌｗｋ＃Ｇｌｖｄｅｌｏｌｗｌｈｖ＃Ｄｆｗ＃ｄｑｇ＃ｒｗｋｈｕ＃ｄｓｓｏｌｆｄｅｏｈ＃ｖｗｄｗｈ＃ｄｑｇ＃ｉｈｇｈｕｄｏ＃ｏｄｚｖ／＃ｌｉ＃｜ｒｘ＃ｕｈｔｘｌｕｈ＃ｄ＃ｕｈｄｖｒｑｄｅｏｈ＃ｄｆｆｒｐｐｒｇｄｗｌｒｑ＃ｉｒｕ＃ｄ＃ｇｌｖｄｅｌｏｌｗ｜／＃ｓｏｈｄｖｈ＃ｆｒｑｗｄｆｗ＃ｗｋｈ＃ＤＧＤ＃Ｆｒｒｕｇｌｑｄｗｒｕ＃ｄｗ＃ｗｋｈ＃Ｉｄｐｌｏ｜＃Ｆｒｘｕｗ＃Ｄｇｐｌｑｌｖｗｕｄｗｌｒｑ＃Ｒｉｉｌｆｈ＃ｄｗ＃ＳＫＲＱＨ＃ＱＲ１＃５７７０５：３３／＃ＩＤ［＃５７７０５：３７＃ＲＵ＃ＷＷ＼＃５７７０５；；＜＃ｄｗ＃ｏｈｄｖｗ＃ｗｈｑ＃＋４３，＃ｚｒｕｎｌｑｊ＃ｇｄ｜ｖ＃ｓｕｌｒｕ＃ｗｒ＃｜ｒｘｕ＃ｋｈｄｕｌｑｊ＃ｒｕ＃ｄｓｓｒｌｑｗｐｈｑｗ＃ｇｄｗｈ１＃＃Ｉｒｕ＃ｄｏｏ＃Ｆｌｙｌｏ＃ｕｈｏｄｗｈｇ＃ｐｄｗｗｈｕｖ／＃ｓｏｈｄｖｈ＃ｆｄｏｏ＃５７７０５：３９＃ｒｕ＃ｙｌｖｌｗ＃ｗｋｈ＃Ｖｈｕｙｌｆｈ＃Ｆｈｑｗｈｕ＃ｄｗ＃５４７８＃Ｐｄｌｑ＃Ｖｗｕｈｈｗ／＃Ｕｒｒｐ＃４７４／＃Ｚｄｌｏｘｎｘ／＃ＫＬ＃＜９：＜６＃

2FG-02 (Rev. 8/11)
CommonLook®	５Ｉ０Ｓ０６；８
508 Certified	５Ｉ０Ｓ０６；８

＃

＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃

＃

Ｓｈｗｌｗｌｒｑｈｕ＃Ｓｕｒ＃Ｖｈ＃

＃

ＬＱ＃ＷＫＨ＃ＩＤＰＬL＼＃ＦＲUＵＷ＃ＲＩ＃ＷＫＨ＃ＶＨＦＲＱＧ＃ＦＬＵＦUＬＷ＃

＃

ＶＷＤＷＨ＃ＲＩ＃ＫＤＺＤＬＬ＃

＃

＃	＃	＃	＃	＃		＃	，＃	ＩＦ０Ｊ＃Ｑｒ１＃ｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂ＃
							，＃
Ｌｑ＃ｗｋｈ＃Ｐｄｗｗｈｕ＃ｒｉ＃ｗｋｈ＃Ｊｘｄｕｇｌｄｑｖｋｌｓ＃						＃	，＃	LＬＶＷ＃ＲＩ＃Ｈ［ＫＬBＬＷＶ＃
							，＃	＃
							＃，＃
	＃ｒｉ＃	＃	＃	＃		＃	，＃
							，＃
＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃，＃
ｅｒｕｑ＃ｒｑ＃					＃＃		，＃
							，＃

＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃Ｄ＃Ｐｌｑｒｕ＃Ｓｈｕｖｒｑ１＃

＃

LＬＶＷ＃ＲＩ＃Ｈ［ＫＬBＬＷＶ＃

＃

＃＃Ｗｋｈ＃ｈ｛ｋｌｅｌｗｖ＃ｄｗｗｄｆｋｈｇ＃ｋｈｕｈｗｒ＃ｄｕｈ＃ｖｘｅｐｌｗｗｈｇ＃ｉｒｕ＃ｉｌｏｌｑｊ＃ｌｑ＃ｗｋｈ＃ｄｅｒｙｈ０ｈｑｗｌｗｏｈｇ＃ｓｕｒｆｈｈｇｌｑｊ＝＃

＃	＃	４１＃	＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃１＃
＃	＃	５１＃	＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃１＃
＃	＃	６１＃	＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃１＃
＃
＃	＃	ＧＤＷＨＧ＝＃ｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂ／＃Ｐｄｘｌ／＃Ｋｄｚｄｌｌ／＃ｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂ＃
＃	＃
＃
＃
＃	＃	＃	＃	＃	＃	＃	ｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂ＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃
＃	＃	＃	＃	＃	＃	＃	Ｓｈｗｌｗｌｒｑｈｕ＃Ｓｕｒ＃Ｖｈ＃＃	＃	＃
＃
＃	Ｌｑ＃ｄｆｆｒｕｇｄｑｆｈ＃ｚｌｗｋ＃ｗｋｈ＃Ｄｐｈｕｌｆｄｑｖ＃ｚｌｗｋ＃Ｇｌｖｄｅｌｏｌｗｌｈｖ＃Ｄｆｗ＃ｄｑｇ＃ｒｗｋｈｕ＃ｄｓｓｏｌｆｄｅｏｈ＃ｖｗｄｗｈ＃ｄｑｇ＃ｉｈｇｈｕｄｏ＃ｏｄｚｖ／＃ｌｉ＃｜ｒｘ＃ｕｈｔｘｌｕｈ＃ｄ＃ｕｈｄｖｒｑｄｅｏｈ＃ｄｆｆｒｐｐｒｇｄｗｌｒｑ＃ｉｒｕ＃ｄ＃
＃＃＃	ｇｌｖｄｅｌｏｌｗ｜／＃ｓｏｈｄｖｈ＃ｆｒｑｗｄｆｗ＃ｗｋｈ＃ＤＧＤ＃Ｆ＃ｒｒｕｇｌｑｄｗｒｕ＃ｄｗ＃ｗｋｈ＃Ｉｄｐｌｏ｜＃Ｆｒｘｕｗ＃Ｄｇｐｌｑｌｖｗｕｄｗｌｒｑ＃Ｒｉｉｌｆｈ＃ｄｗ＃ＳＫＲＱＨ＃ＱＲ１＃５７７０５：３３／＃ＩＤ［＃５＃７７０５：３７＃ＲＵ＃ＷＷ＼＃５７７０
＃＃＃	５；；＜＃ｄｗ＃ｏｈｄｖｗ＃ｗｈｑ＃＋４３，＃ｚｒｕｎｌｑｊ＃ｇｄ｜ｖ＃ｓｕｌｒｕ＃ｗｒ＃｜ｒｘｕ＃ｋｈｄｕｌｑｊ＃ｒｕ＃ｄｓｓｒｌｑｗｐｈｑｗ＃ｇｄｗｈ１＃＃Ｉｒｕ＃ｄｏｏ＃Ｆｌｙｌｏ＃ｕｈｏｄｗｈｇ＃ｐｄｗｗｈｕｖ／＃ｓｏｈｄｖｈ＃ｆｄｏｏ＃５７７０５：３９＃ｒｕ＃ｙｌｖｌｗ＃ｗｋｈ＃Ｖｈｕｙｌｆｈ＃
＃	Ｆｈｑ＃ｗｈｕ＃ｄｗ＃５４７８＃Ｐｄｌｑ＃Ｖｗｕｈｈｗ／＃Ｕｒｒｐ＃４７４／＃Ｚｄｌｏｘｎｘ／＃ＫＬ＃＜９：＜６＃

2FG-02 (Rev. 8/11)

CommonLook®

508 Certified

５Ｉ０Ｓ０６；

＃

＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃

＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃

Ｓｈｗｌｗｌｒｑｈｕ＃Ｓｕｒ＃Ｖｈ＃

＃

ＬＱ＃ＷＫＨ＃ＩＤＰＬL＼＃ＦＲUＵＷ＃ＲＩ＃ＷＫＨ＃ＶＨＦＲＱＧ＃ＦＬＵＦUＬＷ＃

＃

ＶＷＤＷＨ＃ＲＩ＃ＫＤＺＤＬＬ＃

＃

＃	＃	＃	＃	＃		＃		ＩＦ０Ｊ＃Ｑｒ１ｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂ＃
							＃
Ｌｑ＃ｗｋｈ＃Ｐｄｗｗｈｕ＃ｒｉ＃ｗｋｈ＃Ｊｘｄｕｇｌｄｑｖｋｌｓ＃						＃
＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃
＃	ｒｉ＃						＃	＃
							＃
＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃
ｅｒｕｑ＃ｒｑ＃					＃＃		＃
							＃
＃	Ｄ＃Ｐｌｑｒｕ＃Ｓｈｕｖｒｑ１＃			＃		＃
＃									＃
									＃
＃	＃

＃	＃
		＃
＃	＃
＃	＃
＃	＃
＃
＃	＃	＃	＃	＃	＃	ｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂ＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃
							＃
＃	＃	＃	＃	＃	＃	＃	＃	＃

＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃
＃
＃
＃	＃	＃
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＃	＃	＃	＃	＃	＃		＃
＃	＃	＃	＃	＃	＃	＃
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＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃
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＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃						＃＃＃＃

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＃	＃		＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃

＃＃

＃	＃
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＃	＃
＃	＃

５Ｉ０Ｓ０６；

＃＃８１＃Ｄｓｓｒｌｑｗｐｈｑｗ＃ｒｉ＃ｄ＃ｊｘｄｕｇｌｄｑ＃ｚｌｏｏ＃ｖｈｕｙｈ＃ｗｋｈ＃ｚｈｏｉｄｕｈ＃ｄｑｇ＃ｅｈｖｗ＃ｌｑｗｈｕｈｖｗ＃ｒｉ＃ｗｋｈ＃

ｖｘｅｍｈｆｗ＃ｐｌｑｒｕ＞＃

＃＃９１＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃ｌｖ＃ｄ＃ｆｒｐｓｈｗｈｑｗ＃ｓｈｕｖｒｑ１＃

＃＃ＱＲＺ＃ＷＫＨＵＨＩＲＵＨ／＃

＃＃ＬＷ＃ＬＶ＃ＫＨＵＨB＼＃ＲＵＧＨＵＨＧ＃ｗｋｄｗ＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃ｅｈ＃

ｄｑｇ＃ｌｖ＃ｋｈｕｈｅ｜＃ｄｓｓｒｌｑｗｈｇ＃ｊｘｄｕｇｌｄｑ＃ｒｉ＃ｗｋｈ＃ｓｈｕｖｒｑ＃ｒｉ＃ｅｒｕｑ＃

＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＋ｚｌｗｋ＃ｄｘｗｋｒｕｌｗ｜＃ｗｒ＃ｇｈｏｈｊｄｗｈ＃ｋｌｖ２ｋｈｕ＃ｕｈｖｓｒｑｖｌｅｌｏｌｗｌｈｖ＃ｄｑｇ＃ｇｘｗｌｈｖ＃ｗｒ＃ｄ＃ｓｕｒｉｈｖｖｌｒｑｄｏ＃ｐｈｐｅｈｕ＃ｒｉ＃ｋｌｖ２ｋｈｕ＃ｖｗｄｉｉ，＃ｉｒｕ＃ｗｋｈ＃ｓｘｕｓｒｖｈ＃ｒｉ＃ｓｕｒｙｌｇｌｑｊ＃ｆｄｕｈ＃ｄｑｇ＃ｄｗｗｈｑｗｌｒｑ＃ｉｒｕ＃ｖｄｌｇ＃ｐｌｑｒｕ＃＋ｄｑｇ＃

ｋｄｙｌｑｊ＃ｆｘｖｗｒｇ｜＃ｗｋｈｕｈｒｉ／，＃ｄｑｇ＃ｒｉ＃ｓｈｕｉｒｕｐｌｑｊ＃ｄｏｏ＃ｓｕｒｆｈｇｘｕｈｖ＃ｑｈｆｈｖｖｄｕ｜＃ｉｒｕ＃ｗｋｈ＃ｐｌｑｒｕﾶｖ＃ｋｈｄｏｗｋ／＃ｚｈｏｉｄｕｈ＃ｄｑｇ＃ｅｈｖｗ＃ｌｑｗｈｕｈｖｗｖ＃ｓｘｕｖｘｄｑｗ＃ｗｒ＃Ｋ１Ｕ１Ｖ１＃Ｖｈｆｗｌｒｑ＃８９３＝８０５３＜／＃ｌｑｆｏｘｇｌｑｊ＃ｗｋｈ＃ｄｘｗｋｒｕｌｗ｜＃ｄｖ＃ｏｌｐｌｗｈｇ＃ｅ｜＃Ｋ１Ｕ１Ｖ１＃Ｖｈｆｗｌｒｑｖ＃８９３＝８０４３６＃ｄｑｇ＃８９３＝８０５３＜＋５，＃ｗｒ＃ｕｈｆｈｌｙｈ＃ｉｘｑｇｖ／＃ｌｑｆｏｘｇｌｑｊ＃ｓｈｕｌｒｇｌｆ＃

ｖｘｓｓｒｕｗ＃ｉｒｕ＃ｗｋｈ＃ｖｘｅｍｈｆｗ＃ｚｄｕｇ＃ｖｘｓｓｏｌｈｇ＃ｅ｜＃ｄｑ｜＃ｊｒｙｈｕｑｐｈｑｗ＃ｒｕ＃ｄｑ｜＃ｄｊｈｑｆ｜＃ｄｑｇ＃ｗｄｑｊｌｅｏｈ＃ｓｕｒｓｈｕｗ｜＃ｇｈｏｌｙｈｕｄｅｏｈ＃ｗｒ＃ｗｋｈ＃ｚｄｕｇ＃ｄｑｇ＃ｄｓｓｏ｜＃ｗｋｈ＃ｐｒｑｈ｜＃ｄｑｇ＃ｓｕｒｓｈｕｗ｜＃ｉｒｕ＃ｗｋｈ＃ｖｘｓｓｒｕｗ／＃ｆｄｕｈ＃ｄｑｇ＃ｈｇｘｆｄｗｌｒｑ＃ｒｉ＃ｗｋｈ＃ｚｄｕｇ／＃ｄｑｇ＃ｗｒ＃ｈ｛ｈｕｆｌｖｈ＃ｆｄｕｈ＃ｗｒ＃ｆｒｑｖｈｕｙｈ＃ｄｑ｜＃ｈ｛ｆｈｖｖ＃ｉｒｕ＃ｗｋｈ＃ｚｄｕｇﾶｖ＃ｑｈｈｇｖ１＃＋Ｖｈｈ＃Ｈ｛ｋｌｅｌｗ＃Ｄ１，＃

＃＃ＬＷ＃ＬＶ＃ＫＨＵＨB＼＃ＲＵＧＨＵＨＧ＃ｗｋｄｗ＃ｗｋｈ＃ｓｄｕｈｑｗ＋ｖ，＃ｒｉ＃ｗｋｈ＃ｐｌｑｒｕ＃ｖｋｄｏｏ＃ｑｒｗ＃ｈ｛ｈｕｆｌｖｈ／＃

ｚｌｗｋｒｘｗ＃ｗｋｈ＃ｆｒｑｖｈｑｗ＃ｒｉ＃ｗｋｈ＃ｊｘｄｕｇｌｄｑ／＃ｗｋｈ＃ｓｒｚｈｕｖ＃ｄｑｇ＃ｇｘｗｌｈｖ＃ｚｋｌｆｋ＃ｄｕｈ＃ｋｈｕｈｌｑ＃ｊｕｄｑｗｈｇ＃ｗｒ＃ｗｋｈ＃

ｊｘｄｕｇｌｄｑ＃ｓｘｕｖｘｄｑｗ＃ｗｒ＃Ｋ１Ｕ１Ｖ１＃Ｖｈｆｗｌｒｑ＃８９３＝８０５３＜１＃

＃＃＃ＬＷ＃ＬＶ＃ＩUＵＷＫＨＵ＃ＲＵＧＨＵＨＧ＃ｗｋｄｗ＃ｗｋｈ＃ｊｘｄｕｇｌｄｑ＃ｖｋｄｏｏ＃ｓｕｒｙｌｇｈ＃ｄｑｑｘｄｏ＃ｕｈｓｒｕｗｖ＃ｗｒ＃ｗｋｈ＃

Ｆｒｘｕｗ＃ｒｑ＃ｗｋｈ＃ｆｒｑｇｌｗｌｒｑ＃ｒｉ＃ｗｋｈ＃ｐｌｑｒｕ＃ｄｑｇ＃ｒｉ＃ｗｋｈ＃ｐｌｑｒｕ＊ｖ＃ｈｖｗｄｗｈ＃ｚｋｌｆｋ＃ｌｖ＃ｖｘｅｍｈｆｗ＃ｗｒ＃ｋｌｖ２ｋｈｕ＃

ｓｒｖｖｈｖｖｌｒｑ＃ｒｕ＃ｆｒｑｗｕｒｏ＃ｄｑｇ＃ｖｘｆｋ＃ｒｗｋｈｕ＃ｐｄｗｗｈｕｖ＃ｄｖ＃ｗｋｈ＃Ｆｒｘｕｗ＃ｐｄ｜＃ｇｌｕｈｆｗ＃ｚｌｗｋｌｑ＃ｒｑｈ＃｜ｈｄｕ＃ｒｉ＃ｗｋｈ＃ｇｄｗｈ＃

ｋｈｕｈｒｉ／＃ｄｑｇ＃ｄｑｑｘｄｏ＃ｗｋｈｕｈｄｉｗｈｕ１＃

＃＃ＬＷ＃ＬＶ＃ＫＨＵＨB＼＃ＩUＵＷＫＨＵ＃ＲＵＧＨＵＨＧ＃ｗｋｄｗ＃ｗｋｈ＃ｊｘｄｕｇｌｄｑ＃ｖｋｄｏｏ＃ｖｈｕｙｈ＃＾＃＃｀＃ｚｌｗｋ＃＾＃｀＃ｚｌｗｋｒｘｗ＃ｅｒｑｇ＃ｒｕ＃＾＃｀＃ｚｌｗｋ＃＾＃｀＃ｚｌｗｋｒｘｗ＃ｆｒｐｓｈｑｖｄｗｌｒｑ＃ｄｑｇ＃ｖｋｄｏｏ＃ｅｈ＃ｇｌｖｆｋｄｕｊｈｇ＃ｘｓｒｑ＃ｗｋｈ＃ｐｌｑｒｕﾶｖ＃

ｄｇｒｓｗｌｒｑ／＃ｐｄｕｕｌｄｊｈ／＃ｇｈｄｗｋ＃ｒｕ＃ｄｗｗｄｌｑｐｈｑｗ＃ｒｉ＃ｗｋｈ＃ｄｊｈ＃ｒｉ＃ｐｄｍｒｕｌｗ｜＃ｒｕ＃ｘｓｒｑ＃ｗｋｈ＃ｇｈｄｗｋ／＃ｕｈｖｌｊｑｄｗｌｒｑ／＃

ｕｈｐｒｙｄｏ＃ｒｕ＃ｇｈｗｈｕｐｌｑｄｗｌｒｑ＃ｒｉ＃ｌｑｆｄｓｄｆｌｗ｜＃ｒｉ＃ｗｋｈ＃ｊｘｄｕｇｌｄｑ＃ｒｕ＃ｘｓｒｑ＃ｉｘｕｗｋｈｕ＃ｒｕｇｈｕ＃ｒｉ＃ｗｋｈ＃Ｆｒｘｕｗ／＃ｅｘｗ＃

2FG-02 (Rev. 8/11)

CommonLook®	５Ｉ０Ｓ０６；

ｗｈｕｐｌｑｄｗｌｒｑ＃ｇｒｈｖ＃ｑｒｗ＃ｄｉｉｈｆｗ＃ｗｋｈ＃ｏｌｄｅｌｏｌｗ｜＃ｒｉ＃ｊｘｄｕｇｌｄｑ＃ｉｒｕ＃ｓｕｌｒｕ＃ｄｆｗｖ／＃ｑｒｕ＃ｊｘｄｕｇｌｄｑﾶｖ＃ｒｅｏｌｊｄｗｌｒｑ＃ｗｒ＃

ｄｆｆｒｘｑｗ＃ｉｒｕ＃ｉｘｑｇｖ＃ｄｑｇ＃ｄｖｖｈｗｖ＃ｒｉ＃ｗｋｈ＃ｚｄｕｇ１＃Ｕｈｖｌｊｑｄｗｌｒｑ＃ｒｉ＃ｄ＃ｊｘｄｕｇｌｄｑ＃ｒｉ＃ｗｋｈ＃ｓｈｕｖｒｑ＃ｇｒｈｖ＃ｑｒｗ＃

ｗｈｕｐｌｑｄｗｈ＃ｗｋｈ＃ｊｘｄｕｇｌｄｑｖｋｌｓ＃ｘｑｗｌｏ＃ｌｗ＃ｋｄｖ＃ｅｈｈｑ＃ｄｓｓｕｒｙｈｇ＃ｅ｜＃ｗｋｈ＃Ｉｄｐｌｏ｜＃Ｆｒｘｕｗ１＃

＃＃ＤＱＧ＃ＬＷ＃ＬＶ＃ＫＨＵＨB＼＃ＩUＵＷＫＨＵ＃ＲＵＧＨＵＨＧ＃ｗｋｄｗ＃Lｈｗｗｈｕｖ＃ｒｉ＃Ｊｘｄｕｇｌｄｑｖｋｌｓ＃ｅｈ＃

ｌｖｖｘｈｇ＃ｌｑ＃ｄｆｆｒｕｇｄｑｆｈ＃ｋｈｕｈｚｌｗｋ１＃

＃＃ＧＤＷＨＧ＝＃ｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂ／＃Ｐｄｘｌ／＃Ｋｄｚｄｌｌ／＃ｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂ＃

＃

＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃

＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃ｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂ＃

＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃ＭUＧＪＨ＃ＲＩ＃ＷＫＨ＃ＤBＲVＨ０ＨＱＷＬＷLＨＧ＃ＦＲUＵＷ＃

＃

＃Ｌｑ＃ｄｆｆｒｕｇｄｑｆｈ＃ｚｌｗｋ＃ｗｋｈ＃Ｄｐｈｕｌｆｄｑｖ＃ｚｌｗｋ＃Ｇｌｖｄｅｌｏｌｗｌｈｖ＃Ｄｆｗ＃ｄｑｇ＃ｒｗｋｈｕ＃ｄｓｓｏｌｆｄｅｏｈ＃ｖｗｄｗｈ＃ｄｑｇ＃ｉｈｇｈｕｄｏ＃ｏｄｚｖ／＃ｌｉ＃｜ｒｘ＃ｕｈｔｘｌｕｈ＃ｄ＃ｕｈｄｖｒｑｄｅｏｈ＃ｄｆｆｒｐｐｒｇｄｗｌｒｑ＃ｉｒｕ＃ｄ＃ｇｌｖｄｅｌｏｌｗ｜／＃ｓｏｈｄｖｈ＃ｆｒｑｗｄｆｗ＃ｗｋｈ＃ＤＧＤ＃Ｆ＃ｒｒｕｇｌｑｄｗｒｕ＃ｄｗ＃ｗｋｈ＃Ｉｄｐｌｏ｜＃Ｆｒｘｕｗ＃Ｄｇｐｌｑｌｖｗｕｄｗｌｒｑ＃Ｒｉｉｌｆｈ＃ｄｗ＃ＳＫＲＱＨ＃ＱＲ１＃５７７０５：３３／＃ＩＤ［＃５＃７７０５：３７＃ＲＵ＃ＷＷ＼＃５７７０５；；＜＃ｄｗ＃ｏｈｄｖｗ＃ｗｈｑ＃＋４３，＃ｚｒｕｎｌｑｊ＃ｇｄ｜ｖ＃ｓｕｌｒｕ＃ｗｒ＃｜ｒｘｕ＃ｋｈｄｕｌｑｊ＃ｒｕ＃ｄｓｓｒｌｑｗｐｈｑｗ＃ｇｄｗｈ１＃＃Ｉｒｕ＃ｄｏｏ＃Ｆｌｙｌｏ＃ｕｈｏｄｗｈｇ＃ｐｄｗｗｈｕｖ／＃ｓｏｈｄｖｈ＃ｆｄｏｏ＃５７７０５：３９＃ｒｕ＃ｙｌｖｌｗ＃ｗｋｈ＃Ｖｈｕｙｌｆｈ＃Ｆｈｑｗｈｕ＃ｄｗ＃５４７８＃Ｐｄｌｑ＃Ｖｗｕｈｈｗ／＃Ｕｒｒｐ＃４７４／＃Ｚｄｌｏｘｎｘ／＃ＫＬ＃＜９：＜６＃

2FG-02 (Rev. 8/11)

５Ｉ０Ｓ０６；

§560:5-208 Powers guardian. (a)＃Ｈ｛ｆｈｓｗ＃ｄｖ＃ｒｗｋｈｕｚｌｖｈ＃ｏｌｐｌｗｈｇ＃ｅ｜＃ｗｋｈ＃ｆｒｘｕｗ／＃ｄ＃ｊｘｄｕｇｌｄｑ＃ｒｉ＃ｄ＃ｐｌｑｒｕ＃ｚｄｕｇ＃ｋｄｖ＃ｗｋｈ＃ｓｒｚｈｕｖ＃ｒｉ＃ｄ＃ｓｄｕｈｑｗ＃ｕｈｊｄｕｇｌｑｊ＃ｗｋｈ＃ｚｄｕｇﾶｖ＃ｖｘｓｓｒｕｗ／＃ｆｄｕｈ／＃ｈｇｘｆｄｗｌｒｑ／＃ｋｈｄｏｗｋ／＃ｄｑｇ＃ｚｈｏｉｄｕｈ１＃＃＃

＃	＃	＋ｅ，＃Ｄ＃ｊｘｄｕｇｌｄｑ＃ｐｄ｜＝＃＃
		＃
		＋４，＃Ｄｓｓｏ｜＃ｉｒｕ＃ｄｑｇ＃ｕｈｆｈｌｙｈ＃ｐｒｑｈ｜＃ｉｒｕ＃ｗｋｈ＃ｖｘｓｓｒｕｗ＃ｒｉ＃ｗｋｈ＃ｚｄｕｇ＃ｒｗｋｈｕｚｌｖｈ＃ｓｄ｜ｄｅｏｈ＃ｗｒ＃ｗｋｈ＃ｚｄｕｇﾶｖ＃
		ｓｄｕｈｑｗ／＃ｊｘｄｕｇｌｄｑ／＃ｒｕ＃ｆｘｖｗｒｇｌｄｑ＃ｘｑｇｈｕ＃ｗｋｈ＃ｗｈｕｐｖ＃ｒｉ＃ｄｑ｜＃ｖｗｄｗｘｗｒｕ｜＃ｖ｜ｖｗｈｐ＃ｒｉ＃ｅｈｑｈｉｌｗｖ＃ｒｕ＃ｌｑｖｘｕｄｑｆｈ＃ｒｕ＃
		ｄｑ｜＃ｓｕｌｙｄｗｈ＃ｆｒｑｗｕｄｆｗ／＃ｇｈｙｌｖｈ／＃ｗｕｘｖｗ／＃ｆｒｑｖｈｕｙｄｗｒｕｖｋｌｓ＃ｒｕ＃ｆｘｖｗｒｇｌｄｑｖｋｌｓ＞＃
		＃
		＋５，＃Ｌｉ＃ｒｗｋｈｕｚｌｖｈ＃ｆｒｑｖｌｖｗｈｑｗ＃ｚｌｗｋ＃ｗｋｈ＃ｗｈｕｐｖ＃ｒｉ＃ｄｑ｜＃ｒｕｇｈｕ＃ｅ｜＃ｄ＃ｆｒｘｕｗ＃ｒｉ＃ｆｒｐｓｈｗｈｑｗ＃ｍｘｕｌｖｇｌｆｗｌｒｑ＃ｕｈｏｄｗｌｑｊ＃
		ｗｒ＃ｆｘｖｗｒｇ｜＃ｒｉ＃ｗｋｈ＃ｚｄｕｇ／＃ｗｄｎｈ＃ｆｘｖｗｒｇ｜＃ｒｉ＃ｗｋｈ＃ｚｄｕｇ＃ｄｑｇ＃ｈｖｗｄｅｏｌｖｋ＃ｗｋｈ＃ｚｄｕｇﾶｖ＃ｓｏｄｆｈ＃ｒｉ＃ｆｘｖｗｒｇｌｄｏ＃
		ｇｚｈｏｏｌｑｊ＞＃ｓｕｒｙｌｇｈｇ＃ｗｋｄｗ＃ｄ＃ｊｘｄｕｇｌｄｑ＃ｐｄ｜＃ｒｑｏ｜＃ｈｖｗｄｅｏｌｖｋ＃ｒｕ＃ｐｒｙｈ＃ｗｋｈ＃ｚｄｕｇﾶｖ＃ｆｘｖｗｒｇｌｄｑ＃ｇｚｈｏｏｌｑｊ＃
		ｒｘｗｖｌｇｈ＃ｗｋｈ＃Ｖｗｄｗｈ＃ｘｓｒｑ＃ｈ｛ｓｕｈｖｖ＃ｄｘｗｋｒｕｌ｝ｄｗｌｒｑ＃ｒｉ＃ｗｋｈ＃ｆｒｘｕｗ＞＃＃
		＋６，＃Ｌｉ＃ｗｋｈ＃ｆｒｑｖｈｕｙｄｗｒｕ＃ｉｒｕ＃ｗｋｈ＃ｈｖｗｄｗｈ＃ｒｉ＃ｄ＃ｚｄｕｇ＃ｋｄｖ＃ｑｒｗ＃ｅｈｈｑ＃ｄｓｓｒｌｑｗｈｇ＃ｚｌｗｋ＃ｈ｛ｌｖｗｌｑｊ＃ｄｘｗｋｒｕｌｗ｜／＃
		ｆｒｐｐｈｑｆｈ＃ｄ＃ｓｕｒｆｈｈｇｌｑｊ／＃ｌｑｆｏｘｇｌｑｊ＃ｄｑ＃ｄｇｐｌｑｌｖｗｕｄｗｌｙｈ＃ｓｕｒｆｈｈｇｌｑｊ／＃ｒｕ＃ｗｄｎｈ＃ｒｗｋｈｕ＃ｄｓｓｕｒｓｕｌｄｗｈ＃ｄｆｗｌｒｑ＃
		ｗｒ＃ｆｒｐｓｈｏ＃ｄ＃ｓｈｕｖｒｑ＃ｗｒ＃ｖｘｓｓｒｕｗ＃ｗｋｈ＃ｚｄｕｇ＃ｒｕ＃ｗｒ＃ｓｄ｜＃ｐｒｑｈ｜＃ｉｒｕ＃ｗｋｈ＃ｅｈｑｈｉｌｗ＃ｒｉ＃ｗｋｈ＃ｚｄｕｇ＞＃
		＋７，＃Ｆｒｑｖｈｑｗ＃ｗｒ＃ｐｈｇｌｆｄｏ＃ｒｕ＃ｒｗｋｈｕ＃ｆｄｕｈ／＃ｗｕｈｄｗｐｈｑｗ／＃ｒｕ＃ｖｈｕｙｌｆｈ＃ｉｒｕ＃ｗｋｈ＃ｚｄｕｇ＞＃
		＋８，＃Ｆｒｑｖｈｑｗ＃ｗｒ＃ｐｄｕｕｌｄｊｈ＃ｒｉ＃ｗｋｈ＃ｚｄｕｇ＞＃ｄｑｇ＃
		＋９，＃Ｌｉ＃ｕｈｄｖｒｑｄｅｏｈ＃ｘｑｇｈｕ＃ｄｏｏ＃ｒｉ＃ｗｋｈ＃ｆｌｕｆｘｐｖｗｄｑｆｈｖ／＃ｇｈｏｈｊｄｗｈ＃ｗｒ＃ｗｋｈ＃ｚｄｕｇ＃ｆｈｕｗｄｌｑ＃ｕｈｖｓｒｑｖｌｅｌｏｌｗｌｈｖ＃ｉｒｕ＃
		ｇｈｆｌｖｌｒｑｖ＃ｄｉｉｈｆｗｌｑｊ＃ｗｋｈ＃ｚｄｕｇﾶｖ＃ｚｈｏｏ０ｅｈｌｑｊ１＃
		＋ｆ，＃Ｗｋｈ＃ｆｒｘｕｗ＃ｐｄ｜＃ｖｓｈｆｌｉｌｆｄｏｏ｜＃ｄｘｗｋｒｕｌ｝ｈ＃ｗｋｈ＃ｊｘｄｕｇｌｄｑ＃ｗｒ＃ｆｒｑｖｈｑｗ＃ｗｒ＃ｗｋｈ＃ｄｇｒｓｗｌｒｑ＃ｒｉ＃ｗｋｈ＃ｚｄｕｇ１＃＾L＃
		５３３７／＃ｆ＃４９４／＃ｓｗ＃ｒｉ＃ﾆ４｀＃
		＃

§560:5-207 Duties of Guardian１＃＋ｄ，＃Ｈ｛ｆｈｓｗ＃ｄｖ＃ｒｗｋｈｕｚｌｖｈ＃ｏｌｐｌｗｈｇ＃ｅ｜＃ｗｋｈ＃ｆｒｘｕｗ／＃ｄ＃ｊｘｄｕｇｌｄｑ＃ｒｉ＃ｄ＃ｐｌｑｒｕ＃ｚｄｕｇ＃ｋｄｖ＃ｗｋｈ＃ｇｘｗｌｈｖ＃ｄｑｇ＃ｕｈｖｓｒｑｖｌｅｌｏｌｗｌｈｖ＃ｒｉ＃ｄ＃ｓｄｕｈｑｗ＃ｕｈｊｄｕｇｌｑｊ＃ｗｋｈ＃ｚｄｕｇﾶｖ＃ｖｘｓｓｒｕｗ／＃ｆｄｕｈ／＃ｈｇｘｆｄｗｌｒｑ／＃ｋｈｄｏｗｋ／＃ｄｑｇ＃ｚｈｏｉｄｕｈ１＃＃Ｄ＃

ｊｘｄｕｇｌｄｑ＃ｖｋｄｏｏ＃ｄｆｗ＃ｄｗ＃ｄｏｏ＃ｗｌｐｈｖ＃ｗｋｈ＃ｚｄｕｇﾶｖ＃ｅｈｖｗ＃ｌｑｗｈｕｈｖｗ＃ｄｑｇ＃ｈ｛ｈｕｆｌｖｈ＃ｕｈｄｖｒｑｄｅｏｈ＃ｆｄｕｈ／＃ｇｌｏｌｊｈｑｆｈ／＃ｄｑｇ＃ｓｕｘｇｈｑｆｈ１＃

＃	＃	＋ｅ，＃Ｄ＃ｊｘｄｕｇｌｄｑ＃ｖｋｄｏｏ＝＃
		＋４，＃Bｈｆｒｐｈ＃ｒｕ＃ｕｈｐｄｌｑ＃ｓｈｕｖｒｑｄｏｏ｜＃ｄｆｔｘｄｌｑｗｈｇ＃ｚｌｗｋ＃ｗｋｈ＃ｚｄｕｇ＃ｄｑｇ＃ｐｄｌｑｗｄｌｑ＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃
＃	＃	ｖｘｉｉｌｆｌｈｑｗ＃ｆｒｑｗｄｆｗ＃ｚｌｗｋ＃ｗｋｈ＃ｚｄｕｇ＃ｗｒ＃ｎｑｒｚ＃ｗｋｈ＃ｚｄｕｇﾶｖ＃ｆｄｓｄｆｌｗｌｈｖ／＃ｏｌｐｌｗｄｗｌｒｑｖ／＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃
＃	＃	ｑｈｈｇｖ／＃ｒｓｓｒｕｗｘｑｌｗｌｈｖ／＃ｄｑｇ＃ｓｋ｜ｖｌｆｄｏ＃ｄｑｇ＃ｐｈｑｗｄｏ＃ｋｈｄｏｗｋ＞＃
		＋５，＃Ｗｄｎｈ＃ｕｈｄｖｒｑｄｅｏｈ＃ｆｄｕｈ＃ｒｉ＃ｗｋｈ＃ｚｄｕｇﾶｖ＃ｓｈｕｖｒｑｄｏ＃ｈｉｉｈｆｗｖ＃ｄｑｇ＃ｅｕｌｑｊ＃ｄ＃ｓｕｒｗｈｆｗｌｙｈ＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃
＃	＃	ｓｕｒｆｈｈｇｌｑｊ＃ｌｉ＃ｑｈｆｈｖｖｄｕ｜＃ｗｒ＃ｓｕｒｗｈｆｗ＃ｒｗｋｈｕ＃ｓｕｒｓｈｕｗ｜＃ｒｉ＃ｗｋｈ＃ｚｄｕｇ＞＃＃
		＋６，＃Ｈ｛ｓｈｑｇ＃ｐｒｑｈ｜＃ｒｉ＃ｗｋｈ＃ｚｄｕｇ＃ｗｋｄｗ＃ｋｄｖ＃ｅｈｈｑ＃ｕｈｆｈｌｙｈｇ＃ｅ｜＃ｗｋｈ＃ｊｘｄｕｇｌｄｑ／＃ｉｒｕ＃ｗｋｈ＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃
＃	＃	ｚｄｕｇﾶｖ＃ｆｘｕｕｈｑｗ＃ｑｈｈｇｖ＃ｉｒｕ＃ｖｘｓｓｒｕｗ／＃ｆｄｕｈ／＃ｈｇｘｆｄｗｌｒｑ／＃ｋｈｄｏｗｋ／＃ｄｑｇ＃ｚｈｏｉｄｕｈ＝＃
		＋７，＃Ｆｒｑｖｈｕｙｈ＃ｄｑ｜＃ｈ｛ｆｈｖｖ＃ｐｒｑｈ｜＃ｒｉ＃ｗｋｈ＃ｚｄｕｇ＃ｉｒｕ＃ｗｋｈ＃ｚｄｕｇﾶｖ＃ｉｘｗｘｕｈ＃ｑｈｈｇｖ＝＃ｓｕｒｙｌｇｈｇ＃

＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃ｗｋｄｗ＃ｌｉ＃ｄ＃ｆｒｑｖｈｕｙｄｗｒｕ＃ｋｄｖ＃ｅｈｈｑ＃ｄｓｓｒｌｑｗｈｇ＃ｉｒｕ＃ｗｋｈ＃ｈｖｗｄｗｈ＃ｒｉ＃ｗｋｈ＃ｚｄｕｇ／＃ｗｋｈ＃ｊｘｄｕｇｌｄｑ＃

ｖｋｄｏｏ＃ｓｄ｜＃ｗｋｈ＃ｐｒｑｈ｜＃ｄｗ＃ｏｈｄｖｗ＃ｔｘｄｕｗｈｕｏ｜＃ｗｒ＃ｆｒｑｖｈｕｙｄｗｒｕ＃ｗｒ＃ｅｈ＃ｆｒｑｖｈｕｙｈｇ＃ｉｒｕ＃ｗｋｈ＃＃ｚｄｕｇﾶｖ＃ｉｘｗｘｕｈ＃ｑｈｈｇｖ＞＃

＋８，＃Ｕｈｓｒｕｗ＃ｗｋｈ＃ｆｒｑｇｌｗｌｒｑ＃ｒｉ＃ｗｋｈ＃ｚｄｕｇ＃ｄｑｇ＃ｄｆｆｒｘｑｗ＃ｉｒｕ＃ｐｒｑｈ｜＃ｄｑｇ＃ｒｗｋｈｕ＃ｄｖｖｈｗｖ＃ｌｑ＃ｗｋｈ＃ｊｘｄｕｇｌｄｑﾶｖ＃ｓｒｖｖｈｖｖｌｒｑ＃ｒｕ＃ｖｘｅｍｈｆｗ＃ｗｒ＃ｗｋｈ＃ｊｘｄｕｇｌｄｑﾶｖ＃ｒｕ＃ｖｘｅｍｈｆｗ＃ｗｒ＃Ｊｘｄｕｇｌｄｑﾶｖ＃ｆｒｑｗｕｒｏ／＃＃ｄｖ＃ｒｕｇｈｕｈｇ＃ｅ｜＃ｗｋｈ＃ｆｒｘｕｗ＃ｒｑ＃ｄｓｓｏｌｆｄｗｌｒｑ＃ｒｉ＃ｄｑ｜＃ｓｈｕｖｒｑ＃ｌｑｗｈｕｈｖｗｈｇ＃ｌｑ＃ｗｋｈ＃ｚｄｕｇﾶｖ＃ｚｈｏｉｄｕｈ＃ｒｕ＃ｄｖ＃ｕｈｔｘｌｕｈｇ＃ｅ｜＃ｆｒｘｕｗ＃ｕｘｏｈ＞＃ｄｑｇ＃

＋９，＃Ｌｑｉｒｕｐ＃ｗｋｈ＃ｆｒｘｕｗ＃ｒｉ＃ｄｑ｜＃ｆｋｄｑｊｈ＃ｌｑ＃ｗｋｈ＃ｚｄｕｇﾶｖ＃ｆｘｖｗｒｇｌｄｏ＃ｇｚｈｏｏｌｑｊ＃ｒｕ＃ｄｇｇｕｈｖｖ＃＾L＃５３３７／＃ｆ＃４９４／＃ｓｗ＃ｒｉ＃ﾆ４｀＃

＃

EXHIBIT “A”

＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃

＃

2FG-02 (Rev. 8/11)＃

CommonLook®

508 Certified

５Ｉ０Ｓ０６；

＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃

＃

Ｓｈｗｌｗｌｒｑｈｕ＃Ｓｕｒ＃Ｖｈ＃

＃

ＬＱ＃ＷＫＨ＃ＩＤＰＬL＼＃ＦＲUＵＷ＃ＲＩ＃ＷＫＨ＃ＶＨＦＲＱＧ＃ＦＬＵＦUＬＷ＃

＃

ＶＷＤＷＨ＃ＲＩ＃ＫＤＺＤＬＬ＃

＃

＃	＃	＃	＃	＃	＃	，＃	ＩＦ０Ｊ＃Ｑｒ１＃ｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂ＃
						，＃
Ｌｑ＃ｗｋｈ＃Ｐｄｗｗｈｕ＃ｒｉ＃ｗｋｈ＃Ｊｘｄｕｇｌｄｑｖｋｌｓ＃＃						，＃	LＨＷＷＨＵＶ＃ＲＩ＃ＪUＤＵＧＬＤＱＶＫＬP＃
						，＃	Ｒ＃Ｉ＃Ｄ＃ＰＬＱ＃Ｒ＃Ｕ＃ＳＨＵＶＲ＃Ｑ＃
					＃	，＃	＃
＃＃＃	ｒｉ＃＃	＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃，＃
						，＃
＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃，＃
ｅｒｕｑ＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃					＃＃＃＃＃＃＃＃＃＃＃＃，＃
＃	＃	＃	＃	＃	＃	，＃
＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃Ｄ＃Ｐｌｑｒｕ＃Ｓｈｕｖｒｑ１＃						＃＃，＃
＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃，＃
＃
＃			LＨＷＷＨＵＶ＃ＲＩ＃ＪUＤＵＧＬＤＱＶＫＬＳ＃ＲＩ＃Ｄ＃ＰＬＱＲＵ＃ＳＨＵＶＲＱ＃
			LＨＷＷＨＵＶ＃ＲＩ＃ＪUＤＵＧＬＤＱＶＫＬＳ＃ＲＩ＃Ｄ＃ＰＬＱＲＵ＃ＳＨＵＶＲＱ＃
＃	＃	＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃＃ｌｖ＃ｋｈｕｈｅ｜＃ｄｓｓｒｌｑｗｈｇ＃ｊｘｄｕｇｌｄｑ＃ｒｉ＃ｗｋｈ＃
ｓｈｕｖｒｑ＃ｒｉ＃					ｅｒｕｑ＃			ｉｒｕ＃ｗｋｈ＃ｓｘｕｓｒｖｈ＃ｒｉ＃ｓｕｒｙｌｇｌｑｊ＃ｆｄｕｈ＃ｄｑｇ＃

ｄｗｗｈｑｗｌｒｑ＃ｉｒｕ＃ｖｄｌｇ＃ｐｌｑｒｕ＃＋ｄｑｇ＃ｋｄｙｌｑｊ＃ｆｘｖｗｒｇ｜＃ｗｋｈｕｈｒｉ／，＃ｄｑｇ＃ｒｉ＃ｓｈｕｉｒｕｐｌｑｊ＃ｄｏｏ＃ｓｕｒｆｈｇｘｕｈｖ＃ｑｈｆｈｖｖｄｕ｜＃ｉｒｕ＃ｗｋｈ＃ｐｌｑｒｕﾶｖ＃ｋｈｄｏｗｋ／＃ｚｈｏｉｄｕｈ＃ｄｑｇ＃ｅｈｖｗ＃ｌｑｗｈｕｈｖｗｖ＃ｓｘｕｖｘｄｑｗ＃ｗｒ＃Ｋｄｚｄｌｌ＃Ｕｈｙｌｖｈｇ＃Ｖｗｄｗｘｗｈｖ＃＋Ｋ１Ｕ１Ｖ１，＃

Ｖｈｆｗｌｒｑ＃８９３＝８０５３＜／＃ｌｑｆｏｘｇｌｑｊ＃ｗｋｈ＃ｄｘｗｋｒｕｌｗ｜＃ｄｖ＃ｏｌｐｌｗｈｇ＃ｅ｜＃Ｋ１Ｕ１Ｖ１＃Ｖｈｆｗｌｒｑｖ＃８９３＝８０４３６＃ｄｑｇ＃８９３＝８０５３＜＋５，＃ｗｒ＃ｕｈｆｈｌｙｈ＃ｉｘｑｇｖ／＃ｌｑｆｏｘｇｌｑｊ＃ｓｈｕｌｒｇｌｆ＃ｖｘｓｓｒｕｗ＃ｉｒｕ＃ｗｋｈ＃ｖｘｅｍｈｆｗ＃ｚｄｕｇ＃ｖｘｓｓｏｌｈｇ＃ｅ｜＃ｄｑ｜＃

ｊｒｙｈｕｑｐｈｑｗ＃ｒｕ＃ｄｑ｜＃ｄｊｈｑｆ｜＃ｄｑｇ＃ｗｄｑｊｌｅｏｈ＃ｓｕｒｓｈｕｗ｜＃ｇｈｏｌｙｈｕｄｅｏｈ＃ｗｒ＃ｗｋｈ＃ｚｄｕｇ＃ｄｑｇ＃ｄｓｓｏ｜＃ｗｋｈ＃ｐｒｑｈ｜＃

ｄｑｇ＃ｓｕｒｓｈｕｗ｜＃ｉｒｕ＃ｋｈ＃ｖｘｓｓｒｕｗ／＃ｆｄｕｈ＃ｄｑｇ＃ｈｇｘｆｄｗｌｒｑ＃ｒｉ＃ｗｋｈ＃ｚｄｕｇ／＃ｄｑｇ＃ｗｒ＃ｈ｛ｈｕｆｌｖｈ＃ｆｄｕｈ＃ｗｒ＃ｆｒｑｖｈｕｙｈ＃ｄｑ｜＃ｈ｛ｆｈｖｖ＃ｉｒｕ＃ｗｋｈ＃ｚｄｕｇﾶｖ＃ｑｈｈｇｖ１＃＃

＃＃Ｗｋｈ＃ｓｄｕｈｑｗ＃ｒｉ＃ｗｋｈ＃ｐｌｑｒｕ＃ｖｋｄｏｏ＃ｑｒｗ＃ｈ｛ｈｕｆｌｖｈ／＃ｚｌｗｋｒｘｗ＃ｗｋｈ＃ｆｒｑｖｈｑｗ＃ｒｉ＃ｗｋｈ＃ｊｘｄｕｇｌｄｑ／＃

ｗｋｈ＃ｓｒｚｈｕｖ＃ｄｑｇ＃ｇｘｗｌｈｖ＃ｚｋｌｆｋ＃ｄｕｈ＃ｋｈｕｈｌｑ＃ｊｕｄｑｗｈｇ＃ｗｒ＃ｗｋｈ＃ｊｘｄｕｇｌｄｑ＃ｓｘｕｖｘｄｑｗ＃ｗｒ＃Ｋ１Ｕ１Ｖ１＃Ｖｈｆｗｌｒｑ＃８９３＝８０５３＜１＃

＃＃Ｗｋｈ＃ｊｘｄｕｇｌｄｑ＃ｖｋｄｏｏ＃ｖｈｕｙｈ＃＾＃＃｀＃ｚｌｗｋ＃＾＃｀＃ｚｌｗｋｒｘｗ＃ｅｒｑｇ＃ｒｕ＃＾＃＃｀＃ｚｌｗｋ＃＾＃＃＃｀＃ｚｌｗｋｒｘｗ＃ｆｒｐｓｈｑｖｄｗｌｒｑ＃ｄｑｇ＃ｖｋｄｏｏ＃ｅｈ＃ｇｌｖｆｋｄｕｊｈｇ＃ｘｓｒｑ＃ｈｄｆｋ＃ｐｌｑｒｕﾶｖ＃ｄｇｒｓｗｌｒｑ／＃ｐｄｕｕｌｄｊｈ／＃ｇｈｄｗｋ／＃ｒｕ＃

ｄｗｗｄｌｑｐｈｑｗ＃ｒｉ＃ｗｋｈ＃ｄｊｈ＃ｒｉ＃ｐｄｍｒｕｌｗ｜＃ｒｕ＃ｘｓｒｑ＃ｗｋｈ＃ｇｈｄｗｋ／＃ｕｈｖｌｊｑｄｗｌｒｑ／＃ｕｈｐｒｙｄｏ＃ｒｕ＃ｌｑｆｄｓｄｆｌｗ｜＃ｒｉ＃ｗｋｈ＃

2FG-02 (Rev. 8/11)
CommonLook®	５Ｉ０Ｓ０６；

ｊｘｄｕｇｌｄｑ＃ｒｕ＃ｘｓｒｑ＃ｉｘｕｗｋｈｕ＃ｒｕｇｈｕ＃ｒｉ＃ｗｋｈ＃Ｆｒｘｕｗ／＃ｅｘｗ＃ｗｈｕｐｌｑｄｗｌｒｑ＃ｇｒｈｖ＃ｑｒｗ＃ｄｉｉｈｆｗ＃ｗｋｈ＃ｏｌｄｅｌｏｌｗ｜＃ｒｉ＃

ｊｘｄｕｇｌｄｑ＃ｉｒｕ＃ｓｕｌｒｕ＃ｄｆｗｖ／＃ｑｒｕ＃ｗｋｈ＃ｊｘｄｕｇｌｄｑ＃ｒｅｏｌｊｄｗｌｒｑ＃ｗｒ＃ｄｆｆｒｘｑｗ＃ｉｒｕ＃ｉｘｑｇｖ＃ｄｑｇ＃ｄｖｖｈｗｖ＃ｒｉ＃ｗｋｈ＃ｚｄｕｇ１＃＃Ｕｈｖｌｊｑｄｗｌｒｑ＃ｒｉ＃ｄ＃ｊｘｄｕｇｌｄｑ＃ｒｉ＃ｗｋｈ＃ｓｈｕｖｒｑ＃ｇｒｈｖ＃ｑｒｗ＃ｗｈｕｐｌｑｄｗｈ＃ｗｋｈ＃ｊｘｄｕｇｌｄｑｖｋｌｓ＃ｘｑｗｌｏ＃ｌｗ＃ｋｄｖ＃ｅｈｈｑ＃

ｄｓｓｕｒｙｈｇ＃ｅ｜＃ｗｋｈ＃Ｉｄｐｌｏ｜＃Ｆｒｘｕｗ１＃

ＧＤＷＨＧ＝＃ｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂ／＃Ｐｄｘｌ／＃Ｋｄｚｄｌｌ／＃ｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂｂ＃

＃＃＃＃＃ＦLＨＵK＃ＲＩ＃ＷＫＨ＃ＤBＲVＨ０ＨＱＷＬＷLＨＧ＃ＦＲUＵＷ＃

Ｌｑ＃ｄｆｆｒｕｇｄｑｆｈ＃ｚｌｗｋ＃ｗｋｈ＃Ｄｐｈｕｌｆｄｑｖ＃ｚｌｗｋ＃Ｇｌｖｄｅｌｏｌｗｌｈｖ＃Ｄｆｗ＃ｄｑｇ＃ｒｗｋｈｕ＃ｄｓｓｏｌｆｄｅｏｈ＃ｖｗｄｗｈ＃ｄｑｇ＃ｉｈｇｈｕｄｏ＃ｏｄｚｖ／＃ｌｉ｜ｒｘ＃ｕｈｔｘｌｕｈ＃ｄ＃ｕｈｄｖｒｑｄｅｏｈ＃ｄｆｆｒｐｐｒｇｄｗｌｒｑ＃ｉｒｕ＃ｄ＃ｇｌｖｄｅｌｏｌｗ｜／＃ｓｏｈｄｖｈ＃ｆｒｑｗｄｆｗ＃ｗｋｈ＃ＤＧＤ＃Ｆ＃ｒｒｕｇｌｑｄｗｒｕ＃ｄｗ＃ｗｋｈ＃Ｉｄｐｌｏ｜＃Ｆｒｘｕｗ＃Ｄｇｐｌｑｌｖｗｕｄｗｌｒｑ＃Ｒｉｉｌｆｈ＃ｄｗ＃ＳＫＲＱＨ＃ＱＲ１＃５７７０５：３３／＃ＩＤ［＃５＃７７０５：３７＃ＲＵ＃ＷＷ＼＃５７７０５；；＜＃ｄｗ＃ｏｈｄｖｗ＃ｗｈｑ＃＋４３，＃ｚｒｕｎｌｑｊ＃ｇｄ｜ｖ＃ｓｕｌｒｕ＃ｗｒ＃｜ｒｘｕ＃ｋｈｄｕｌｑｊ＃ｒｕ＃ｄｓｓｒｌｑｗｐｈｑｗ＃ｇｄｗｈ１＃＃Ｉｒｕ＃ｄｏｏ＃Ｆｌｙｌｏ＃ｕｈｏｄｗｈｇ＃ｐｄｗｗｈｕｖ／＃ｓｏｈｄｖｈ＃ｆｄｏｏ＃５７７０５：３９＃ｒｕ＃ｙｌｖｌｗ＃ｗｋｈ＃Ｖｈｕｙｌｆｈ＃Ｆｈｑｗｈｕ＃ｄｗ＃５４７８＃Ｐｄｌｑ＃Ｖｗｕｈｈｗ／＃Ｕｒｒｐ＃４７４／＃Ｚｄｌｏｘｎｘ／＃ＫＬ＃＜９：＜６＃

2FG-02 (Rev. 8/11)

５Ｉ０Ｓ０６；

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