Laserfiche WebLink
<br />PLEASE TYPE OR PRINT LEGIBLY <br />PROVIDE ALL REQUESTED INFORMATION <br /> <br />STATEMENT OF ELECTED/APPOINTED <br />OFFICER <br /> <br />(Pursuant to Tex. Const. art. XVI, 91(b), amended 2001) <br /> <br />I, Lou Ann Martin, 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 <br />my 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 />1/1l1t{ <br />I D'te <br /> <br /> <br />~/ <br /> <br />ft,~~",-, 84~tP5' <br />Position t . ch Elected/Appointed <br /> <br />~lt!k' <br /> <br />Form No. 2201 <br />