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Certificate of Compliance/Non-Compliance <br />Page <br />VERIFICATION <br />1 1E <br />BEFORE E, the undersigned notary, on this day personally appeared <br />the affiant, a person whose identity is known to me. After I <br />administered an oath to affiant, affiant testified: <br />"My name is . I am capable of making this verification. I have <br />read the foregoing Certificate of Compliance/Non-Compliance. The facts stated in it are within <br />my personal knowledge and are true and correct, and I further certify that the Employer <br />Reference Summary pages are true and correct copies of those reports filed with the Texas <br />Workforce Commission." <br />Signature of Companyepresentative <br />Sworn to and subscribed before me this the day of —'20 ........... . . <br />Notary public, State of Teas <br />