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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />RYAN L. BUTLER, CLERK <br />Contract# IRL2024N-08 <br />Encumbrance# GLO1-2309 <br />IRC Volunteer Sign-up and Release of Liability Form —page two <br />NAME <br />ADDRESS <br />HOURS DATE(S) <br />(signature) <br />(Address) <br />(hours) (dates) <br />(print name) <br />(signature) <br />(Address) <br />(hours) (dates) <br />(print name) <br />(signature) <br />(Address) <br />(hours) (dates) <br />(print name) <br />(signature) <br />(Address) <br />(hours) (dates) <br />(print name) <br />(signature) <br />(Address) <br />(hours) (dates) <br />(print name) <br />(signature) <br />(Address) <br />(hours) (dates) <br />(print name) <br />(signature) <br />(Address) <br />(hours) (dates) <br />(print name) <br />(signature) <br />(Address) <br />(hours) (dates) <br />(print name) <br />(signature) <br />(Address) <br />(hours) (dates) <br />(print name) <br />Page 24 <br />