From: <Homestead@homestead-inc.com>

To: <lsdaw@info2000.net>

Subject: questionnaire_page : Homestead Form Submission

Date: Saturday, March 10, 2001 4:39 AM

The following information was submitted to

http://www.homestead.com/lovelandclass1961/questionnaire_page.html:

Date: Sat Mar 10 2001

Time: 02:35:27

First Name: Tom

Last Name: Helzer

Maiden Name:

Spouse's Name:

Address: PO Box 1219

City: Westminster

State: CO

Zip Code: 80036-1219

Hm Phone: 303 429 4641

Fax:

Business Ph.: No more work!

E-mail:

Web Site URL:

Attend Reunion on 9/14?: YES on Sept. 14, 2001

Attend Reunion on 9/15?: YES on Sept. 15, 2001