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SUBSTITUTION OF LEGIBLE ORIGINAL DOCUMENT <br /> (GOVERNMENT CODE 27361.7) <br /> S ('( rl D! 6-t <br /> fAA;t-f cwi <br /> �J <br /> I DECLARE UNDER PENALTY OF PERJURY THAT THIS <br /> HANDWRITTEN/TYPEWRITTEN LEGIBLE COPY <br /> IS A TRUE COPY OF THE ORIGINAL PAGE(S) <br /> DATE: I /21 (7 ( SIGNATURE <br /> PRINT NAME c L `A 4 1,17 tot <br />