Laserfiche WebLink
<br />PLEASE TYPE OR PRINT LEGmL Y <br />PROVIDE ALL REQUESTED INFORMATION <br /> <br />STATEMENT OF ELECTED/APPOINTED <br />OFFICER <br /> <br />(Pursuant to Tex. Const. art. XVI, f1(b), amended 2001) <br /> <br />I, Bob Pizzitola do solemnly swear (or affirm), that I have not directly or indirectly <br />paid, offered, promised to pay, contributed, or promised to contribute any money or <br />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 /> <br />UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING <br />STATEMENT AND THAT THE FACTS STATED THEREIN ARE TRUE. <br /> <br />/0 - '-( -/0 <br /> <br />Date <br /> <br />~_-_ J~ <br /> <br />Affian~ature - <br /> <br />~[ 6 i'lLf/tl D <br />Posi 'on to Which Elected/Appointed <br /> <br />4P()(+e ~r(l~j <br />City and/or County <br /> <br />Form No. 2201 <br />