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<br />"~" <br /> <br />. <br /> <br />, ,- <br /> <br />,. <br /> <br />. <br /> <br />. I . <br /> <br />-----------------------------------------------.-----1-----------------------------------------------------.----------------------------------------~ <br /> <br /> <br /> <br />,e j,tntt of ~tXll~ <br />Statement of Appointed Officer <br /> <br />~ <br /> <br />I. ~ .. do solemn')' awear ror afflnnJ. IItlll bwe lIor "'""" <br />or 'hdlredW paid. offered. p mlsed to pa~. con'l'Ibu.e&t. or PrOlnlsed '0 cOllfrlbule aU" rnOhe" or 'hln" of value. or <br />I <br />pl'Dlnlsed aliI' PUblic office or 8hSPI05lInefJ'!. .s a reward '0 'leure,'nv lIlPoh.flnen. or C:OUflrmafloh fbereof. 10 '.elp me God. <br /> <br /> <br /> <br /> <br />l-A- <br />CIIV Bud/or CoUlI'V <br /> <br /> <br />, <br />.. <br /> <br />.J.. (J tJ3 . <br /> <br />I- <br />. I ( . <br />~~---------------------------------------------------r--------------------~---~--------------------.------~~-------------------~--~..--------- <br /> <br />I <br /> <br /> <br />I~ <br /> <br />., <br /> <br />SWORN TO and 8ubscrlbed before m~ by affiant on this <br /> <br />-. <br /> <br />e . PUG; Ufo T <br />~~~ .OTAI' ..Iue. STAn Of nus <br />~ IIJ COIlJfISSlOI flP/US I <br />. CII SIPlE".. 24. 211l . <br /> <br />, "I' <br />-.i-::- <br />