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CERTIFICATE OF INTERESTED PARTIES <br />Complete Nos. I - 4 and 6 if there are interested parties. <br />Complete Nos. L 23. S—vnd <br />I Name of business <br />of business.state � tity's place <br />A.J.Hur0r.,inc. dba Reladyne <br />Houston, TX United States <br />being filed, <br />City of La Porte <br />MEMME= <br />-5 Check only if there is No Interested Party. ID <br />6 UNSWORN DECLARA-1710N <br />"7,''; r— <br />My 0 <br />name is <br />and my date of birth is <br />2 4' �O t <br />7 fb <br />My address is '5 <br />k-A <br />(city) <br />(state) <br />(zip code—) <br />(coumTy) <br />I declare under penalty Of Perjury that the foregoing is true and correct. <br />Executed in <br />County, State of on the oW — ay <br />—d <br />of <br />(month) <br />(year) <br />ell <br />w= <br />6fauthorized / -- <br />n, 0 2e".1'rcOntracting business entity <br />te.tx.us <br />0= <br />