Sworn statement. Contents entirely redacted.
SWORN STATEMENT
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MACY ACT STATEMENT
• AUTHORITY: Tide 10 USC %Mon DOI; Title 6 USC Section 2651; E.O. 9397 dated Nevantber 22. 1243 ISMS. IMINCIFAL FUMES: To e¦ ftede aorereanders and law mown min efOcirds with mans by whish it kweetion may be Wgillitatf ROUTINE WlSt Your social eecurity numbs is used aa an adddatialfelternses means of Identification to fact tats Etna and retrieval.
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AFFIDAVIT HAVE READ OA HAVE HAD NEM TO ME THIS STATEMENT
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Y UNDIRITAM3 THE CONTENTS OF THE ENTINE STATEMENT MADE SY ME. 1111 STATEMENT IS TRUE. I HAVE *MALEC ALL CORRECTIONS AND HAVE WITIALED THE SOTTOM Of EACH PAGE CONTAINING THE STATEMENT. I HAVE MACE THIS STATEMENT FREELY THREAT OF PUNISHMENT, AND WITHOUT COERCION, UNLAWFIA.INFLUIFICE.
• : WITNESS Subscribed and sworn before rae. amson eullwited by lar wintl thIs day of j54Ulte . JOOY
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DOD JUNE 2999
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