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Declaration of Office, w, n,°r.,m
see,
.: I /.%QY<+r.f �Fadflf. .. _.. .do solemnly promise and
zne. °e
+declare that II will truly, faithfully and impartially, to the best of any knowledge and ability,
W., di head
,x `°'°` execute the office (.) of n
.°,.::`.5"` Ihave been (n)_GP rI�
- in the municipality of�/AXd�.� / t/'s� �� r.� and that I
°e have not received, and will not receive, any payment or reward, or promi.e of such, for the
xercjse of any partiality onmalversation, or other undue execution of the said office, and
P that I have not by myself or partner, either directly or indirectly, any interest in any
contract with, or on behalf of the said Corporative (c)
a.
Declared before me at the i�iaf ala.-1 '
of... /(rnss� n the County of ,:-
�/}i ty
this // day o �i A D 19oGi+. /T
�f'OdPC%Fv / F _.ice