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NOTICE

mMATR NOTARY PUBLIC SERVICE

Under both Federal Law (28 U.S.C. §1746) and State Law (V.T.C.A. Civil Practice &Remedies

Code, &132.00J-132.003), inmate incarcerated in Texas may use an unsworn declaration under

penally of perjury in place of awritten declaration, verification, clarification, oath, or affidavit

sworn

bTfore"al^otar7PublTc.An-example-ofan-unsworn-deete -—

Unsworn Declaration

I, Offender^igLiUaiisr&Md —• TDCJ " ^MZS

am presently incarcerated at the Mark W. Stile, Dnit of the Texas Department of Cnmmal

Justice in Jefferson Count* Texas declare under penalty of perjury that the above is true and

correct.

Srgned on the _ia!i__ day ofJ£aEEa&. 20 J^'

/£BlMmi-£^M

Printed Name

/tor mftax-gadmijSignature

Unsworn Declaration
CSINIB02/CINIB02 TEXAS DEPARTMENT OF CRIMINAL JUSTICE 09/28/15

ST55/LS00869 IN--FORMA--PAUPERIS DATA 1.8 s©6:02

TDCJtt: 01919078 SID#: 03648254 LOCATION: STILES INDIGENT DTE; 05/27/ 14

NAMEs ESTHfiY,KIRT ALLEN BEGINNING PERIODS 03/01/15

PREVIOUS TDCJ NUMBERS: 0143450® ©15207:1.4

CURRENT BALs 0.00 TOT HOLD AMT: 0.00 3MTH TOT DEPs 0, 00

6MTH DEPs 0.00 6MTH flVG BALs 0.0© 6MTH AMG DEPs 0. 00

MONTH HIGHEST BALANCE TOTAL DEPOSITS MONTH HIGHEST BALANCE TOTAL DEPOSITS

08/15 0.00 0.00 05/15 0.00 0.00

07/15 0.00 0.00 04/15 0.00 0.00

06/15 0.00 0.00 03/15 0.00 0.00

PROCESS DATE HOLD AMOUNT HOLD DESCRIPTION

STATE OF TEXAS COUNTY

ON THIS THE 2iTl)AY OF

COMPLETE,AND

$epVr^b<V .ff. I CERTIFY THAT THIS DOCUMENT IS A TRUE,

UNALTERED COPY MADE BY ME OF INFORMATION CONTAINED IN THE

COMPUTER DATABASE REGARDING THE OFFENDER'S ACCOUNT. NP SIG:

PF1-HELP PF3-END ENTER NEXT TDCJ NUMBERS ) ^ I Wl* OR SID NUMBER:

:/^\

rflh«A>K^kM ,, A,, A A. A A. ^ ^ ^ f

STEPHANIE LUTE

Notary Public,, StateofTexas

MyCommission Expires

03/03/2016

A ^ i^ji iy imnf>in|i»""in,iir hj "nil -|_

Notary without aond