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                                                NOTICE

                                mMATE NOTARY PUBLIC SERVICE


    Under both Federal Law (28 U.S.C. §1746) and State Law (V.T.C.A. Civil Practice &Remedies
    Code &132 001-132.003), inmate incarcerated in Texas may use an unsworn declaration under
    penalty of perjury in place ofawritten declaration, verification, clarification, oath, or affidavit
    sworn
             blforeFlsJotiry Public; Armcample ofanunsworn-decl-arationJs as-follows:



                                        Unsworn Declaration


               //-T l\Lrt A,\XaU
  I, Offender ^jjiLJ^Al^T^S^^h^S                               ,TDCJNumber_/2/5l£IB
                                                               »       -J-^- '^     .
  am presently incarcerated at the Mark W. Stiles Unit of the Texas Department of Criminal
 .We in Jefferson County, Texas declare under penalty of perjury that the above is true and
 correct.




 Signed on the         3<-uA      day ofDeCfiffiteT 20 _AS_-


Printed Name



  /\JL*A, Ao-^CaJsisJ^fc^
Signature




1Insworn Declaration
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