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Certificate cif Compliance/Non-Compliance <br />Page 2 <br />Y E HIFICA if P. <br />STATE OFT § <br />COUNTY OF LAMAR § <br />BEFORE ME, the undersigned notary, on this day personally appeared <br />the afflant, a person whose identity is known to me. After I administered <br />an oath to affiant, affiant testified: <br />"My name is . I am capable of making this verification. I have read <br />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 />�iM <br />Sworn to and subscribed beforeday of ............................................. ,,, ,20—. <br />