Laserfiche WebLink
r that T heve nPrsonaiIy pxam4ned and ar. fa'j'Iiar <br /> IT <br /> Certify un--r oenaJtY of law ha.. . <br /> .,he -nro—Intlon nuhml,tt-d in th-IS SCh-fil)" nr �Oyln"PnQ- and rcr—er-tic)!, <br /> ell a.. o� s t•achsn .` and thyt, bnsnd on my inquiry or those indiv; duals <br /> Pnd bel.i�ve that the <br /> imnedinte?y responsi.b]e for obtaining the in�forma*..ion, <br /> i nformnt; on is t.,rue, accurnte and complete. T am aware that there are <br /> O <br /> 51gn4ficPnt penalties for submitting falSE 1Tlformation, including t .. <br /> Possibili`y of fine and imprisonment." <br /> cert_.fy un. o n�.'l`.Y of 7.ati thnt 1 hake personsl.].y -xamined and ?m rnmiliar <br /> Oer e <br /> with the information and attachments submittfld 'herein and that, based on my <br /> inquiry of those individuals immediately resDonsihle for obtaining thn T <br /> inf ormn,tion, 7 be2eive that the information is true, accurate, and conpJPte. <br /> am aware "'at `•hp'p are signif?.cant penalties for suhmitting false information, <br /> .ncludingVthP possibility of fine and imprisonment. <br />