Grubb, Kimberly - Oath & OA 2021-01-25PIXASETYPEOR PRINTLEGIBLY
PROVIDE ALL REQ1JESTED NFORWHON
STATEMENT OF ELECTED/APPO,INTED
OFFICER
Way'snaill to 1r'x Cou'q� mf—%Vl, �)(b)' untended 2d)ffo
1, KIM"BEIRLY GRUBB, do solemidy swear (or affirm), that 1. have no,t directly
or, indirectly paid, offered, prornised to pay, contributed, or prainised to contribute any
money or thil-Ig Of Vahl(�, err promised. any public offi(o or employment for the giving or
withholding (A'a vote at, t,lres election at, which I Was elected or as a reward to secure
my appointment or confirunation, whichever the case may be, so help me God,
UNDE'le, lq" ,NALTIES 017PEUNURY, I DECLARE THAT I HAVE READ ljmFOREGOING
STATEMENTAND HAT THE FACIS S7ATED t" It' ARE TRUE.
iv. .. ...............
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Position to Which Elected/Appointed Cityand/or County
Form Nc,, 220 t