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VERY Verified Emission Reductions page 1 VERIFIED EMISSION REDUCTIONS PROJECT DESIGN DOCUMENT FORM (VERDE) following Version 03.1. Of CDM-PDD CONTENTS A. General description of project activity B.

Appendix: References Appendix A. Supplementary information Appendix B. Appendix B data Appendix C. Appendix COE Appendix D. Appendix D data EXTRACT FROM FILING ACTIVITY A. CITIZEN AND PERSONAL INFORMATION EXTRACT AND REQUIREMENT INCLUDE A CITIZENSHIP STATUS STATEMENT, A PERSONAL HISTORY STATEMENT, AN INTERN ALUMNI STATUS STATEMENT AS IF A DEPARTMENT OF AGRICULTURE CITIZENSHIP REGISTRY CARD, A PERSONAL EMISSION MEASURES STATEMENT, A PERSONAL INPUT MEASURES STATEMENT, AN EMISSION REDUCING INPUT STATEMENT, A NATIONAL FOOD CERTIFICATE STATEMENT, AND A LIST OF FOODS RECOMMENDED BY THE COMMISSION INCENTIVIZE INFORMATION: The Commission and the parties participating in the Project agree to collect information on the following: 1. Your name and mailing address. 2. Your voter registration number (or the mailing address at which you were previously registered to vote). 3. A declaration that you are a U.S. Citizen AND A LIST OF FOODS THAT YOU PLAN ON TAXING TO SUPPORT YOUR COST OF ADMINISTRATION OF THE EMISSIONS REDUCTION FUND. 4. Information on the total amount of tax dollars you have contributed to the project as described earlier. 5. Your signature/certificate of the information obtained. Information on the other required data: 1. Financial records for the project as required by statute and Regulation 13.1201-4(d) 2. A copy of your current valid U.S. passport or driver's license. 3. An original or certified copy of a utility bill or bank statement showing your name and address (except a business or government account number). 4. A certified copy of your birth certificate. 5. A current utility bill or bank statement for your home address (except bank or credit card statements). 6. A current utility or telephone bill for the area into which you intend to move. 7. A current utility or telephone bill showing a current street address in the area into which you intend to move. 8. A current utility or telephone bill showing a current address for which you have a current telephone number. 9. A current bank statement for the account in which you are depositing and withdrawing money from that account. 10.

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