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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. XVI, §1(6), amended 2001) <br />I, Pat Muston, do solemnly swear (or affirm), that I have not directly or <br />indirectly paid, offered, promised to pay, contributed, or promised to contribute any <br />money or thing of value, or promised any public office or employment for the giving or <br />withholding of a vote at the election at which I was elected or as a reward to secure my <br />appointment or confirmation, whichever the case may be, so help me God. <br />UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING <br />STATEMENT AND THAT THE FACTS STATED THEREIN ARE TRUE. <br />/&t) g o6 <br />Date <br />f", %� <br />"i- <br />Position to Which Elected/Appointed <br />Form No.2201 <br />ant's Signature <br />Houston/Harris <br />City and/or County <br />