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Certificate of Compliance/Non-Compliance <br />Page 2 <br />YEj-jLFI(�A:.]][0,N <br />STATE OF TEXAS § <br />COUNTY OF l.AMAR § <br />BEFORE ME, the undersigned notary, on this day personall'y appeared <br />— -------t he affiant, a person. whose identj�y is known to me. After- 11[ administered <br />an oath. to affiant, affiant testifli.(-.,,&� <br />"My iiarne is ... - I am capable of ma this verification. I leave read <br />the foregoing Certificate of CoTnpliarice/Noti,-.Coirnpll,i,ance,. I'he facts stated in it are within <br />my perSOMI knowledge and are tr,ue and correct, and I further certify that the Em.1-Aoyer <br />Reference Summary pages are true and correct copies of those reports filed with. the Texas <br />Workforce Coinmission." <br />Signature of CornpanY r Representative <br />Position/Title <br />Sworn to and subscribed before me this the . ........... day of ... . ....... . ..... __, 20—. <br />Notary Public, State of Texas <br />