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<br />PLEASE TYPE OR PRINT LEGIBLY <br /> <br />PROVIDE ALL REQUESTED INFORMATION <br /> <br />STATEMENT OF ELECTED/APPOINTED <br />OFFICER <br /> <br />(Pursuant to Tex. Const. art. XVI, i!(b), amended 2001) <br /> <br />I, Chuc.k. Enge..tk.e.n . do solemnly swear <br />(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 /> <br />UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING STATEMENT AND <br />THAT THE FACTS STATED THEREIN ARE TRUE. <br /> <br />1/?6!04 <br />Date <br /> <br />~~ <br /> <br />Affiant's Signature <br /> <br />L5-~ . <br />Position to ch Elected/Appomted <br /> <br />La POJU:e.. HaJUU.o Countu <br />City and/or County <br /> <br />Form No. 2201 <br /> <br />.....'*"..."'~.~"., <br />.~ . \(" H """,\ ' <br />/" \'b Ir l\.~~" <br />/ \'\ "..........." If I ~; <br />:/' ,.,," .......>, il\1 <br />.J ) .~' , .... '1,;/ 1\, <br />~.. ~ '" "<"1 <br />1 M .' ~~ ~ <br />1 :? j. . ~ r. <br />i I" ...... ,?;'" t <br />'~"" ., ~. "il. ,j(/ 'f ~. <br />~ <t If 11: \\ 'f 1; <br />~/I ,t~. If/~ ,fl' ~ <br />g' ,/~.'"u" " J" <br />'ll;L~/ .... "~'( <br />It 0/ II tOn ,.rtl -"," <br />1\ \ " ((. ....(..........' <br />1~\\\~ /l;l'lill\!! \\'\\" <br />",~"",,,,,. <br />