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<br />r------------------------------------------------~--------------------------------------------------------------------------------------------------, <br />I 'aQJe ~tate of 'llCtXa.6 . I <br /> Statement of Appointed Officer <br /> I. Thomas G. Richey " . do 801e,"nf~ ~welM' (or l'tfrmJ. Ilta' ,I bwe liar lIreerl.. - <br /> or 'ndlretew paid. offered. pl"O.nlsed to P2W. oonfrlbufed. or promised fo contrlbure 8'ny mDnB~ 01' .hlns 04 varue. or <br /> promised an51' public office or enlPllWfnenf. 8S & reward,o secure 'nv BPPOIntmenr or cohffnnafloh tbereof. so help me God. <br />I Affiant's SI"nalure <br />I . <br />I Alternate Judge of the Municipal Court <br />I , - <br /> Otrfce to Wblch Awolnred <br /> La Porte/Harris <br /> - <br /> elrv 811d/or Counflf <br /> SWORN TO and subscrlhed before me by affiant on 1hls day of 19 e <br /> . <br /> -. <br /> Signaturo or PersCQ ^~ll 0A1h <br /> --.-- <br /> PrloIIld Nam~ <br /> 'Y1do <br />l__________~________ .. ---"-------, <br />