Premkumar, Ramesh - 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)
I,R.p\Kv . Pi(2'ri 'vdo solemnly swear (or affirm), that I have not directly or
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.
D to Officer's Signature
Form No.2201