<HTML><FONT FACE=arial,helvetica><HTML><FONT COLOR="#000000" FACE="Geneva" FAMILY="SANSSERIF" SIZE="2">Nancy, you are a wonderful person who has helped many attain the goals they have set out to accomplish, I thank you for all your hard work and dedication. You are deserving of this honor and many others, Ira P. Monka DO, HPF, MHA, FACOFP</FONT><FONT COLOR="#000000" FACE="Geneva" FAMILY="SANSSERIF" SIZE="2"></FONT></HTML>