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PLEASE TYPE OR- PRINT LEGIBLY <br />PROVIDE ALL.REQUESTED INFORMATION <br />STATEMENT OF ELECTED/APPOINTED <br />OFFICER <br />(Pursuant to Tex. Const. art. XWI §1(6), amended 2001) <br />I, Norman L. Matone do solemnly <br />swear (or affirm), that I have not directly or indirectly paid, offered, promised to pay, <br />contributed, or promised to contribute any money or thing of value, or promised any <br />public office or employment for the giving or withholding of a vote at the election at <br />which I was elected or as a reward to secure my appointment or confirmation, <br />whichever the case may be, so help me God. <br />UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING STATEMENT <br />AND THAT THE FACTS STATED THEREIN ARE TRUH <br />May 12, 2003 <br />Date <br />Mayon <br />Position to Which Elected/Appointed <br />Form No. 2201 <br />La Poxte Texan - HaAA" County <br />City and/or County <br />