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(For Use by Cities Other Than the City of Houston) <br />C ERTIFICATION OF B ALLOT <br />F OR B OARD OF D IRECTORS <br />H ARRIS C OUNTY A PPRAISAL D ISTRICT <br />I, _______________________________________, certify that on the _______ day of <br />_____________, 2021, the City Council of the City of ___________________________ did by <br />resolution cast its ballot for the following nominee to serve as a member of the Board of <br />Directors of the Harris County Appraisal District. <br />(Place an "X" in the square next to the candidate of your choice.) <br />Mike Sullivan \[ \] <br />I further certify that a true and correct copy of the resolution casting such ballot is attached <br />hereto. <br />WITNESS MY HAND this _____ day of ____________________, 2021. <br />_____________________________ <br />Mayor <br />ATTEST: <br />_______________________________ <br />City Secretary <br /> <br />