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r,T Certify under penalty of law that 1 have nersonal'_y Axamined And nm familiar <br /> w4lh '.hP ='lr0^T1.`lOn suhri.`,t-d in this cCrl"C?llin nr !'Orn j^nf P ?n� r n-••cC`,�nn <br /> end ?11 aittpchrn-^ts and that, based on my inquiry of those individuals <br /> immediately responsible for obtaining the informa*.ion, _ hPl.i(-ve that the <br /> ?nform. =,t4 on is true, accurAtf' and complete. T am aware thn' there are <br /> sign:fice°lt nenAlties for submi`..tinc, false informntlon, including, the <br /> possibility of fine and imprisonment." <br /> ❑ T cert?fV unH-r penc 1ty of )nw that T_ hpve personni l.y PX%tmined 7�nd aM fnmi l_i nr <br /> with the information and attachments subm;tt,�d hcrein and that, based on my <br /> inquiry of those individuals immediately resp_ onsih).e for cb-.pining the <br /> inr: orm;, .lon, T b01eive that the information is true, accura+,.e and complnte. 7 <br /> am awAre thnt .`.here are siRr, f?.cant penalties for suhmitti.ng false information, <br /> including the possibility of fine and imprisonment. <br />