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• <br />• <br />CJ <br />STATE OF <br />COUNTY OF S7- <br />PERSONALLY APPEARED BEFORE ME, the undersigned authority, who. <br />-10 N W MY <« i I n afterfirst being (name of individual signing)swom <br />by me, affixed his/her signature in the space provided above on this / 2_ <br />day of <br />c' N '';NOTARY PUBLIC <br />o! I 'r r <br />' G6`.•. _ � mss;, rr �• <br />< <br />iCSTAiEOnmissionexpires: <br />BARBARA L. amsfERLIN <br />STATEMENT OF PUBLIC ENTITY CRIMES <br />S - 3 <br />