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Straach, Aaron - OA 2019-12-10 PLEASE TYPE OR PRINT LEGIBLY PROVIDE ALL REQUESTED INFORMATION STATEMENT OF ELECTED/APPOINTED OFFICER (Pursuant to Tex. Const.art.XVI,§1(b),amended 2001) A-111W I, , do solemnly swear (or affirm that I have not directlyor ), indirectly paid, offered, promised to pay, contributed, or promised to contribute any money or thing of value, or promised any public office or employment for the giving or withholding of a vote at the election at which I was elected or as a reward to secure my appointment or confirmation, whichever the case may be, so help me God. UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING STATEMENT AND THAT THE FACTS STATED THEREIN ARE TRUE. r°/d3/I 7 Date Officer's Signature Form No.2201