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Certificate of Compliance/Non-Compliance <br />Page 2 <br />STATE OF TEXAS § <br />COUN,'ry OF LAMAR § <br />BIII�',TORE ME, ffie undersigned notary, on this day personally appeared <br />the afflant a. persoii, whose identity is known to, rne. After I administered <br />an oath to affiant, affiant testifie& <br />"My narrie is I am, capable of making this verification. I have read <br />tbe foregoing Certifk:ate of Compliance/Non Corniphance. The facts stated in it are withill. <br />nanny personal knowledge and are tn.ie and correct, and I further certify, that the En-.iplo,yer <br />Deference Surnmary pages are true and correct copies of those reports filed with the Texas <br />Work -force (',ornmission." <br />Signature of 0-.)rnpany Representative <br />Position/Title <br />Sworn to and subscribed before me this the day of . . . ....... . ............ . .._ ,, 20®e <br />Notary Public, State of Texas <br />