report - regent products corp. · veritas executive summary bigl-06806 -amn seansonal treat bag no...
TRANSCRIPT
DUHEAU VERIT A S
Hu11·a11 V<·cit;•-. Shcn7lw n Co., l td
•i/f. Hlo: f: II. l.illthdn lndll~ln;~IIJIIIIdut(l,
ltlh /one, Of ''""lJ' '"·''"'" lndthlnnl f'<uk . Xtll It~\., II. Ntlll'·han f l,~lnl t, SIH~111Iu~n
(;u .. nqdonq. P RC.
I c-111(. f!,[, "t.OOUl!> 1 !.1~ · II(, l!>!dl!t!J:I:I l!t!'
·:. :. :: htHI'fiiiVl:fll..-l·;.cornlc p~. 'I
REPORT Technical Report: (8512)088-0246
(8512) 088- 0246
. .. ' •
1\ • t· .
1 I
t'
''
''
Page 1 of 18 APR 09, 2012
·.•
• 'I
BUREAU VERITAS
Technical Report: Date Received:
(8512)088-0246 MAR 29,2012
BIG LOTS, INC.
TONYMAK GOO PARTYWORLD WORKSHOP L TO D UNIT 01, 131F, KAISER ESTATE PHASE 1, N0.41 MAN VUE STREET, HUNG HOM, KOWLOON
RESULT: GOOD
Sample Description: Vendor:
Manufacturer:
Labeled Age Grade:
Appropriate Age Grade: Client Specified Age Grade: Tested Age Grade: Country of Origin: Country:
CELLO BAGS WI TWIST TIES PARTYWOLD Sample Size: WORKSHOP L TO ZHONGSHAN LANGZHI Vendor Style No(s): COMMODITY MANUFACTORY NOT PRESENT P.O. No.(s):
NIA (ADULT) NOT SPECIFIED ADULT CHINA US & CANADA
Ref#: Assortment No.: SKU: UPC Dept.: Division:
I Re-test: I Yes: I No: I X I
TEST: • BIGL- 08443 - US NON-CPSIA REQUIREMENTS SUPPLEMENT
(V6) • BIGL- 06806 - AMN SEASONAL TREAT BAG (V5)
LD
APR 09, 2012 Page 2 of 18
18 SETS
50010145
10056035' 10056036 ' 10056037 ' 10056038 ' 10056039 ' 63885 ' 63886 I I 363003791 ,270563 I 363 3
BUREAU ' VERITAS
EXECUTIVE SUMMARY
BIGL- 06806 - AMN SEANSONAL TREAT BAG
NO FAILURES FOR TESTS PERFORMED AGAINST THIS PROTOCOL
BIGL- 08443 - US NON-CPSIA REQUIREMENTS SUPPLEMENT
NO FAILURES FOR TESTS PERFORMED AGAINST THIS PROTOCOL
REMARK(S):
1. See enclosed protocol (s) for the test results.
2. VALIDITY PERIOD: THIS REPORT IS VALID THROUGH APR 09, 2013.
LD
If there are questions regarding above report, please contact the appropriate lab personnel.
Technical questions, please contact: Kris Wan I John Hong (+86)755-86000151 (Ext 622516207) [email protected] [email protected]
Administrative questions, please contact: Annie Wen I Sherry yang (+86)755-86000151 (Ext 625516205) Annie. wen@cn. bureauveritas.com [email protected]
BUREAU VERITAS SHENZHEN CO., LTD
BRIAN TAM MANAGER - HARDLINES DIVISION
(8512)088-0246 Page 3 of 18
BV Lab Number: (8512)088-0246
Technician Name: JERRY
Test Date: APR03. 2012
Reviewed By/Date: WENDY/ APR 09.2012 BUREAU \'ERITI\S
Page 4 of 18
BIG LOTS, li"JC TEST PROTOCOL FOR
BIGL - 08443 - US .1."1"-'.1. .. --.... uoA.t"'ll.A~ V A .A'-AJJ.YJLAJJ. , AU U'V.I. .1. JLJJjjJ."'.LLol .l. "' .l. •u
Evaluation Citation I Method No. of Criteria Results Rating
Samples SCOPE: Thisj)Totocol applies to all products ANALYTICAL
[For submission without documentation attached]
All accessible surface coatings in the as received state on items outside of the scope ofCPSIA shall not contain lead or lead components in which the lead content is in excess of 0.060% (600ppm) of the weight of the total content.
Report actual results or include data table within report. AOAC 974.02 modified
* Total lead content in surface coatings I CPSD-AN-00001- - Compositing up to 4 like materials is allowed. The composite NA I MTHD result will be evaluated against the adjusted limit (regulatory
limit divided by the number of composites).
Note: If insufficient coating for testing found on number of samples specified in the protocol. note on the report "Testing was not conducted due to insufficient coatings found on the sample"
Client Requirement
LD
BV Lab Number: (8512)088-0246 Technician Name: JERRY
Test Date: APR 03.2012
Reviewed By/Date: WENDY/ APR 09.2012 BUREAU Page 5 ofl8 V E RITAS
!3IGL- 08443 - US ... .. _ .. ,--... ..., .~ .... ~ .. ~ .. ~ .. ·~ ~~·. ~~-·~ .. . •v - No. of Evaluation Citation I Method Samples Criteria Results Rating
All accessible surface coatings in the as received state on items outside of the scope ofCPSIA shall not contain lead or lead components in which the lead content is in excess of 0.060% (600ppm) of the weight of the total content.
Report actual results or include data table within report.
Compositing up to 4 like materials is allowed. The composite result will be evaluated against the adjusted limit (regulatory limit divided by the number of composites).
Total lead content in surface coatings -AOAC 974.02 modified M
• I CPSD-AN-00001- - Note: (THE RESULTS WERE GOOD document review
MTHD If insufficient coating for testing found on number of samples REFERRED TO 85 110890202) specified in the protocol. note on the report 'Testing was not conducted due to insufficient coatings found on the sample ..
In lieu of testing. test report can be submitted if dated within one year.
Note: lfthere is no document attached with the submission. actual testing will be conducted.
Client Requirement
IMPORT ANT NOTE: The information presented under the "Criteria" of this protocol is for information only and docs not replace the content of the standard. Details of the requirements should be referred to the original standards
LD
BUREAU VERITA.S
~ * ** #
Result Kev: c R M NM NA NT
Rating Kev: GOOD UNSAT
Additional Charge For This Test Mandatory Requirement By Request Only
Claimed Recorded Meets Docs Not Meet Not Applicable Not Tested
Good Unsatisfactory
No. Of Samples Required for Complete Testin)!: No. Of (fully Packed) Cartons For Transit Testing: No. Of Working Days For Complete Testinl!::
LD
BV Lab Number:
Technician Name:
Test Date:
Reviewed By/Date:
6 Client Approval:
. 7 Creation Date:
Last Revision Date: Pricing Review Date: Technical Review Date:
(8512)088-0246 JERRY
APR 03.2012
WENDY/ APR 09. 2012
Page 6 of 18
OCTOBER 18. 2011 I Art Pietrafcsa SEPTEMBER 21. 2009 SEPTEMBER 27. 2011
BV Lab Number: (8512)088-0246
Technician Name: JERRY Test Date: APR03.2012
Reviewed By/Date: WENDY/ APR 09. 2012 BUREAU Page 7 ofl8 V. E RITA. S
BIG LOTS. INC TEST PROTOCOL FOR
BIGL - 06806- AMN 03EJ.M.~....,1 ,1"1...1...1o a.~na. UJ"'\.'-.7 _\_.,.~)
Evaluation Citation I Method No. of Criteri2 Results Rating Samples
SUPPLEMENTAL PROTOCOLS Note: additional cost. sample size and TAT may be required if testing to one or more supplemental protocol is necessary. Please refer to the below referenced supplemental protocol(s) for additional information.
BIGL-HL-PTCL-All samples shall be reviewed against the requirements of
• California Proposition 65 California Proposition 65 to determine if additional testing NA I 06572-US
-or labeling is required. [For children's item only]
• CPSIA Requirements BIGL-GB-PTCL-
All samples shall be reviewed against the requirements of NA I 08444-US -
CPSIA Requirements supplemental protocol to determine if additional testing or labeling is required.
BIGL-GB-PTCL- All samples shall be reviewed against the requirements of • Non-CPSIA Requirements Non-CPSIA Requirements supplemental protocol to SEE BIGL-8443-US I
08443-US --determine if additional testing or labeling is required.
LD
BV Lab Number: (8512)088-0246
Technician Name: JERRY Test Date: APR 03.2012
Reviewed By/Date: WENDY/ APR 09.2012 BUREAU Page 8 ofl8 \'ERITA.S
BIGL- 06806- AMN ...,_ .. ~_ .. , .. -- ...... _ 4 .. _ ·-
Evalwation Citation I Method No. of
Criteria Results Rllting Samples
The sample shall meet requirements of supplemental protocol CPSD-AN-PTCL-06001-US Food contact.
As per client requirement. documentation shall be provided for following in lieu of testing: - FDAFSSE - FDAGRAS - Hardness of wood US Food Code - Wood wax or polish
• Food Contact-document review CPSD-AN-PTCL-
Note: NA I 06001-US -
-For metal food contact article. test report within 5 years can be submitted. If test report is not submitted. actual testing will be performed.
-For plastic. ceramic. paper and wood food contact article. Food Contact Certification can be submitted. lfFood Contact Certification is submitted. Food Contact Certification process shall follow. Vendor must submit a certificate of compliance. No actual test would be performed before confirmation with Bi~ Lots.
• Law label CPSD-GB-PTCL- Shall be included if it contains filling material. See protocol NA I 01990-AMN - CPSD-GB-PTCL-0 1990-AMN
LABELING One Time Use Products - Fair F.P. and L. Act (16 (For US] Packaging and Labeling Act - or all CFR 500) OR NIST
** other products - Uniform Laws and 1 Manufacturer. packer. or distributor's name & address (city. M GOOD Uniform Packaging and Labeling Regulations Handbook state & zip) Regulations 130 One Time Use Products- Fair F.P. and L. Act (16 [For US] Packaging and Labeling Act- or all CFR 500) OR NIST ... other products - Uniform Laws and 1 Product Identification M GOOD Uniform Packaging and Labeling Regulations Handbook Regulations 130 -
LD
BV Lab Number: (8512)088-0246 Technician Name: JERRY
Test Date: APR03.2012
Reviewed By/Date: WENDY/ APR 09. 2012 BUREAU Page 9 of 18 \'ERITAS
BIGL- 06806- AMN - . -··· -- .. .. .. _ .. .. _ . -
Citation I Method No. of Criteria Results Rating Evalwation Samples
One Time Usc Products- Fair F.P. and L. Act (16 [For US]
Packaging and Labeling Act- or all CFR 500) OR NIST Net quantity of contents shaH be expressed in terms_ of _ M GOOD •• other products - Uniform Laws and I weight or mass. measure. numerical count. or combmanon so Uniform Packaging and Labeling Regulations Handbook as to give accurate information to facilitate consumer Regulations 130 comparison (U.S. and metric units).
LD
BV Lab Number: (8512)088-0246
Technician Name: JERRY
Test Date: APR 03.2012
Reviewed By/Date: WENDY/ APR 09. 2012 BUREAU Page 10 ofl8 V E RIT A S
BIGL - 06806 - AMN V~C..oJ-Io'.r'-&J &&'-AOI~A -~- • J
Evaluation Citation I Method No. of Criteria Results Rating Samples [For Canada]
(Packaging .. Copy .. Or Artwork Request Form May Be Substituted) Manufacturer or distributor's name & address (City & Postal Code). Minimum 1.6 mm type size. Placed anywhere except bottom- English or French.
Where a prepackaged product is wholly manufactured or produced in a country other than Canada. the marking shall consist of one of the following: -The name and address of a Canadian dealer preceded by the
The consumer words "'imported by .. ( .. importe par") or .. imported for ..
packaging and labeling ( .. importe pour"): or
•• Consumer packaging and labeling act. R.S. 1985. C. C-38 - -The statement of geographic origin located immediately
M GOOD regulations
and regulations. C.R.C .. adjacent to the name and address of a Canadian dealer: or
C.417 -The name and address of the dealer outside Canada
Product Net Quantity Declaration must be in English and French. metric units. on PDP. bold. type size based on PDP size Principal Display Panel Minimum Type <32 cm2 (5 In' ) 1.6 mm (1/ 161n) >32 cm2 but <258 cm2 (40 ln2
) 3.2 mm (1/8 In) >258 cm2 but < 645 em• (100 ln2
) 6.4 mm (1/4 In) >645 cm2 but <25.8 dm2 (400 In2
) 9 .5 mm (3/8 In) >25.8 dm2 (400 ln2
) 12.7 mm (1/2ln)
Product Identification shall be English and French. on PDP and in bold with 1.6 mm minimum type size.
LD
BV Lab Number: (8512)088-0246
Technician Name: JERRY Test Date: APR03.2012
Reviewed By/Date: WENDY/ APR 09. 2012 BUREAU Page 11 of18 V E RITAS
BIGL - 06806 - AMN v~..-.....,-~. .. ~ .a &'-AJl""'-• _...,.. ....... •J
Evaluation Citation I Method No. of Criteria Results Rating Samples [For Canada)
All mandatory labeling information must be shown in both French and English languages. The type of mandatory labeling that is required includes. but is not limited to. any
The consumer written statement or warning. product identity. net content
** Labeling review - packaging packaging and labeling -- and ingredient declarations. The names and address of the M GOOD information regulations. c.r.c .• c. manufucturer and country of origin labeling requirements
417 section 6 may be presented in either French or English. Other supplemental label information that is considered to be non-mandatory (e.g. directions for use) also docs not have to appear in a bilingual manner. However. manufacturers are encouraged to include such information in a bilingual format if plausible.
Usc labeling CPSD-HL-01057- 1 Use/care instructions that are clear and understandable shall NOT PROVIDED I MTHD I Visual be provided in English.
[For US]
Shall indicate country of origin legibly. permanently. and in ** Country Of Origin 19 CFR 134 1 comparable size and close proximity to any mention of M GOOD
country other than country in which the article was manufactured or produced. Must be visible at point of purchase.
LD
BV Lab Number: (8512)088-0246 Technician Name: JERRY
Test Date: APR03.2012
Reviewed By/Date: WENDY/ APR 09.2012 BUREAU Page 12 ofl8 VERITAS
BIGL- 06806 -AlVIN ...,_s·-..._,-• ~ • ..... ...__ ........ -~-..- •w
Evaluation Citation I Method No. of Criteria Results Rating Samoles
[For Canada)
a) Imported goods shall indicate country of origin. b) Must be legible and sufficiently permanent to remain on the goods until it reaches the purchaser.
Marking of Imported c) For goods from N AFT A countries. the language may be Goods Memo D11-3-1 I English. French or Spanish.
** Labeling review - country of origin Canada Customs Tariff. d) For goods from non-NAFTA countries. language may be
M GOOD Marking of Imported -- English or French and marking should appear on individual Goods Regulations. articles.
SOR-94-10 e) If the packaging conceals the Country of Origin mark. then the packaging must also be marked. f) There is a provision to mark only the container if the goods arc imported from NAFT A countries. providing that certain conditions are met. such that the ultimate purchaser will sec the marked container. [For US) [RN# (Registered Number). WPL# (Wool Product Number)
Labeling review: fiber 16 CFR 300 I 303 All or Mfr. Name) NA I
Verify presence (Textile Fiber Products Identification Act)
LD
BV Lab Number: (8512)088-0246
Technician Name: JERRY Test Date: APR03.2012
Reviewed By/Date: WENDY/ APR 09. 2012 BUREAU Page 13 ofl8 VERITAS
BIGL- 06806 - AMN ~ . ........ - .. ... -- a•• - • •- . -
: No. of - -Evalution Citation I Metbod Samples Criteria Resalts Rating
(For Canada)
- Verify that fibre content declaration is present and content listed in order of predominance. - The generic name of each fibre present. in an amount of
Textile labeling and 5% or more. must be stated as a percentage of the total fibre mass. listed in order of predominance:
advertising regulations 1. clearly and prominently shown(b) easily legible; (c) in
(C.R.C.. c. 1551) type of equal size and prominence: and (d) subject to section
Fiber content To verify content: refer
I 40. set apart from any graphic material in the label not NA I
to AA TCC 20 / 20A or required to be shown therein by these Regulations.
CAN/CGSB-4.1 -No. - Information must be presented in both English and French.
14 - Permanency of the disclosure label depends on the type of article. as specified in Schedule I or ill of the Textile labeling and Advertising Regulations. Refer to the Regulations for details. - If a fiber content declaration is not visible through packaging. it must be repeated on packaging
Examine the retail packaging (or submitted artwork).
Record each objective (facrual) claim which can be substantiated by the testing within this protocols and rate
CPSD-HL-08612- accordingly. Claim verification - level 1 MTHD/Ciaim All NA I
verification Any net quantity/dimensional claims evaluated in other sections of this protocol need not be recorded.
All other claims (subjective and objective) shall not be recorded or evaluated.
LD
BV Lab Number: (8512)088-0246 Technician Name: JERRY Test Date: APR 03.2012
Reviewed By/Date: WENDY/ APR 09.2012 BUREAU Pa~c 14 of 18 VERITI\S
BIGL - 06806 - AMN ..,_ .... ..,._ .... -- ·-- _" ... _ ·-
Evaluation Citation I Method No. of
Criteria Results Rating Samples [For Canada]
Textile Labeling Act Per Section 21 of the Textile Labeling and Advertising
Labeling of Pre-Packaged Consumer and Textile Labeling Regulations. C.R.C.. c. 1551. if the textile article is sold in a ** and Advertising -- wrapper. package or container and the fiber content and CA. NA I
Textile Articles Regulations. C.R.C.. c. No/ Dealer Identity label are clearly visible to the consumer.
1551 no further labeling is required. If the label is not visible. the information to be shown on the label must be repeated on the wrapper. package or container in the prescribed manner.
ANALYTICAL [Client's Requirement]
* Heavy metals content in packaging CPSD-HL-01057-
l Certificate of Compliance document shall be provided by
M GOOD materials- Certificate of Compliance MTHD I Visual vendor together with sample submission. Document shall be completely filled out with vendor's company letter heaci valid signature and dated. [For Canada)
All accessible surface coatings in the as received state on the item outside of the scope ofCCPSA shall not contain lead or lead components in which the lead content is in excess of
CPSD-AN-00009-0.06% (600ppm) of the weight of the total content.
• Total lead content in surface coatings NA I MTHD -
Report actual results or include data table within report.
Component testing is allowed. Composite up to 4 colors are allowed.
--·-Client requirement
LD
BV Lab Number: (8512)088-0246
Technician Name: JERRY
Test Date: APR03.20 12
Reviewed By/Date: WENDY/ APR 09. 2012 BUREAU Page 15 ofl8
_\'ERITA.S
BIGL- 06806 - AMN ...,....,..--......... -... .... £ £ ...... -·-·- ·-
Evalustion Citation I Method No. of
Criteria Res nits Rating Samples
[For Canada]
All accessible surface coatings in the as received state on the item outside of the scope of CCPSA shall not contain lead or lead components in which the lead content is in excess of 0.06% (600ppm) of the weight of the total content.
Report actual results or include data table within report. M
• Total lead content in surface coatings - CPSD-GB-0000 1- Component testing is allowed . (THE RESULTS WERE GOOD --document review MTHD Composite up to 4 colors arc allowed. REFERRED TO 851 1 0890202)
In lieu of testing. test report can be submitted if dated within one year.
Note: If there is no document attached with the submission. actual testing will be conducted.
Client requirement PHYSICAL CHARACTERISTICS
[Si7..e!Dirnensions)
Must include the fo llowing: M
CPSD-HL-01056- C: 5inx3inxl 1.5in .. Dimensions MTHD I Standard I 1. The length and width of the finished item in (12.7cmx7.6cmx29.2cm) GOOD
measure centimeters and inches. R: M (AS CLAIM) (OBLONG) 2. The geometric shape of the item (Other than rectan~n1lar) . Example: round. oval tablecloth. etc.
CPSD-HL-01056- Report overall height: shall meet label claims (If applicable). C: l l.Sin (EACH) Dimensions - height - total MTHD I Standard I R: M (AS CLAIM)
GOOD measure
CPSD-HL-0 I 056- Report overall width; shall meet label claims (If applicable). C: Sin (EACH)
Dimensions - width - total MTHD I Standard I R: M (AS CLAIM) GOOD
measure
LD
BUREAU VERITAS
Evaluation Citstion I Method
CPSD-HL-01056-Dimensions - depth - total MTHD I Standard
measure CPSD-HL-01056-
Dimensions - handle drop MTHD I Standard measure
WORKMANSHJP
Defects CPSD-HL-01057-MTHD I Visual
Key: * **
Additional Charge For This Test Mandatory Requirement
#
RC$Uit Kev: c R M NM NA NT
Rating Key: GOOD UNSAT
By Request Only
Claimed Recorded Meets Docs Not Meet Not Applicable Not Tested
Good Unsatisfactory
No. Of Samples Required for Complete Testing No. Of (Fully Packed) Cartons For Transit Testing: No. Of Working Days For Complete Testing:
LD
3 1 5
BV Lab Number: (8512)088-0246 Technician Name: JERRY Test Date: APR 03.2012
Reviewed By/Date: WENDY/ APR 09.2012
Page 16 of 18
BIGL - 06806 - AMN --- ---- ·-~ ------ ---- . -
No. of -Samples Criteria Results Rating
Report overall depth; shall meet label claims (If applicable). C: I I R: 11-1/8in(EACH) I
Report overall dimensions: shall meet label claims (If I applicable).
All No major defects - No sharp edges. even construction.even print/design if applicable.
Client Approval:
Creation Date: Last Revision Date: Pricing Review Date: Technical Review Date:
NA
M
FEBRUARY 08.2012 I Art Pietrafesa JULy 28.2011 FEBRUARY 06.2012
I
GOOD
BUREAU VERITAS
LD
UNSATISFACTORY PHOTO NO PHOTOS INCLUDED
(8512)088-0246 Page 17 of 18
(8512)088-0246 Page 18 of 18
BUREAU VERITAS
LD
Big Lots, Inc Quality Tos t Request Form (mF)
PARTYWOLD W ORKSHOP L TO
Certifi cate of Compllann~
Reduction of Toxlr.s In Pnckaolng
We cclloly l f'lal ttl p3cl<oglng (I.e. pacl<agas ood packogklg co-nponen~ ns defined h lhc Model To;<ia:l In Pnck.u!jing I egls!otlon publish d by th~ Toxic;, In Pact<aginR CIMrlnQhouso t~l ~oxlr.!loP~ci'>LlQ iuu,oJg) sold to 13~ Lot.G Slo11:C, lroo. s nd/or lls ~Wbf.id 011~. offi lu\O!;, ot dlvlslona, 1'1 all St.AIM lhcll htwe w.dopted some form of the Mot!el Tol< cs In P11ckogtng Logl:llatlon, co..-npllot~ with the ICQ\Jiremant!l or tho apacll.n S t :n loxlcs in pack.agl~ 111\•;(a) Sp~~clfi~.lty
1) Wo certlf)' ttw! U1o rcou' oted mlllll'll - load, mercury, ~dmlum, " " d lloxuv,o'un! ch1vmiUI • - wo•o n21 l n tnnllnn:~lly ndded to any paokuglng d lNII'\j;llhll manufoc\\JI Ing proce~.
2) We fUIIhOl ~1 tlly lhr~ l t~ oum or th o IncidentAl conccnl.tntlon hwela o f lead, I'Jlll'cu ry, cadmium &nd h•x"vo°Cfl! chrom'um prce.cnt in ony pn<"".kl'{Jin!J doM not cxC«ld 100 part11 ~~ mlt11on by wc!gh!
3 ) It the pod.&gi'1g I!! sold to Big l ula Stores, l oo., Its C.Ub$1cfla.lles, BffihiJIIJ& Sldlor <ivlsions h) tho S:alo of !o·,..J.:J, wo he·oby cf!.ll l l'y !!lot no mo~arilllll Lr~d to rcpleoo lho regul&ted hoi\vy motnla oro prcsont In n qunnllty or m anner Hv,t ctoo~ a hazarl.l w1 g<IWII o r o•eater thon lhv haz&rd created by the regvla\c- :1 m l!lals.
4.) we w~ m alntll n o<l{:quDiu documantat'on of this ccrbfia~tlon to· ln,pection upon rcquool.
b.) W &CkllO't\'lodgc thai this Certif iClJ!jon do~ not cren 11 any obligation for aub1lci8riea, ntfil lit 11 and/or dlvl ioM of nlo LoU. Stores, Inc , nn Ohio corpora!' on, lrn:luct!nn Wool CooGt Uquidlilorv. Inc: , CSC O':>lribuUon, Inc. Clo~~:<Jul Dilltr.buton, loo., Du•Dnt OC, LLC, e6g LoiJI Cop'tal. l"c, f'NS Stores. lnr: , C S Ross Company, Ol!J I OtG WhOio:Julo, Wi•consln Toy onct ConGol ldll ted lnterll!ltiOORI (co"ectivety, 'Dig I.Ot$/ to purcha~ merctlandlso Qr o1het good"'
CF.RTIFit:IJ BY: ---1 ~J...~.t--'N.:..Au.K~:>.----:-:-,----,
(Name) MMA6E&
(Tiij;i}