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FORM WPB-346 7 ( X -1 1 - 4 5 .1 i PAGE 5 OF 6 PAGES 16. THE OEPA FOLLOWING A PP LIC A TIO N S FOR N E C E S S IT Y C E R T I F I C A T E FOR THIS PLANT AT T H I S LOCATION HAVE BEEN F 11*ED WIT H TH E WAR R TM EN T, TH E NAVY DEPARTMENT, OR TH E WAR PRODUCTION BOARD: DATE OF A P P L I CATION (a) GOVERNMENT F I L E NUMBER (b) E ST IM A TE D TOTAk OF F A C I L I T I E S ON EACH APPLIC ATIO N CDollara) (c) DATE OF ISSUANCE, OR D EN IA L OF NECESS I T Y C E R T I F ICATE I F KNOWN <d) DATE OF A P P L ICATION (a) GOVERNMENT F I LE NUMBER (b ) E ST IM A TE D TOTAL OF F A C I L I T I E S ON EACH APPLICATION (D ol1 arm) ( c l DATE OF ISSUANCE OR DENIAL OF NECES-S I T Y C E R T I F ICATE I F KNOWN (dj mf&S* L M S O I D O 1 / 1 0 4 8 4 U I - 8 0 - 4 M 17. PERSON OR PERSONS AUTHORIZED TO R E P R E S E N T TH E APPLICANT FOR THE PURPOSE OE T H I S A P P L IC A T IO N : NAME T I T L E ADDRESS ( S t r e e t , C i t y , Zone, Stmto) CERTIFICATION - THE UNDERSIGNED, HEREINAFTER REFERRED TO AS THE APPLICANT APPENDIX A ARE NECESSARY IN THE IN TEREST OF NATIONAL DEFENSE DURING THE E WITH RESPECT THERETO OF A NECESSITY C ERTIFIC ATE AS PROVIDED UNDER SECTION CODE, AND IN SUPPORT THEREOF SUBMITS THE INFORMATION CONTAINED IN TH IS APP THE INFORMATION SUBMITTED ON ANY REQUIRED PRIO RITY OR AUTHORIZATION FORM FORTH, OR APPENDED, ARE TRUE AND CORRECT TO THE BEST OF H IS KNOWLEDGE AND CORPORATE SEAL A T T E S T | , H I 0 M H H P P i BY SECRETARY S I DATE , REPRESENTS THAT THE F A C IL IT IE S LIS TE D IN MERGENCY PERIOD, AND REQUESTS THE ISSUANCE 124, AS AMENDED, OF THE INTERNAL REVENUE LICATION TO BE CONSIDERED CONCURRENTLY‘WITH SS AND C E R T IF IE S THAT THE FACTS HEREIN SET B E L IE F . _ WANE OF APPLICANT ONATURE OF AUTHORIZED O F F IC IA L T I T L E SECT ION 3 5 (A) OF TH E U N ITE D S T A T E S CRIMINAL COOE, 18 U . S . C. SEC. 8 0 , MAKES I T A CRIMINAL OFFENSE TO MAKE A W l L L F U L L T FA LSE STA TEM EN T OR RE P RE SE N TA TIO N TO ANY DEPARTMENT OR AGENCY OF TH E U N ITE D S T A T E S AS TO ANY MATTER W IT H IN I T S J U R 1 SD'I CT ION. OPO— War Board 14111A— p. 5
