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1, the undersigned, on my oath as a corporate officer, and duly authorized to make this <br />on Mullie) . ....... . ........................................ . _ <br />hereby swear and affirm that the documentation and information prepared ander my direction and <br />attached hereto, containing the names, hire dates, wage levels and place of residence of those <br />employees filling (number) new, full-time jobs created during the calendar year <br />. in accordance with the terms of the (check all that apply) incentive and/or <br />abatement agreement(s) dated � 20. are, in all things true <br />Witnessmy hand this _ _ day of . . ........... ........ . . .... . ............................................................................................................................. ............... ........................................................................................................ . . . ..... . .. .... . 20 <br />Title: <br />STATE OF TEXAS <br />COUNTY OF LAMAR <br />BEFORE ME, the undersigned authority, on this day personally appeared <br />, known to me to be the person whose name is subscribed to Chi <br />foregoing instrument and acknowledged to me that he/she executed the same for the purposes and <br />consideration therein expressed and in the capacity therein stated. <br />