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iURT OF CPIMJNAL APPEALS
JAN 26 2015
Abel Acosta, Clerk
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NOTICE: THIS FORM CONTAINS SENSITIVE DATA.
Unsworn Declaration
(Texas Civil Practice and Remedies Code, Section 132.001)
My name is •£ /AM. IVjajf/ Iknrr\0SG/<)
First Middle
t 11 Last
my date of birth is:
Month
]_j_k_jJ±£L
Day Year
and
my address is: IL30 FM ^W J*chbo/Ln TtXftS ~lL^%
Street Address City State lip Code
and J/^ifc.
Country
My email address is _ AlJL
(Ifyou are incarcerated, you must also include the following information.)
My inmate identifying number, if any, is: /*) / f) i~Ic*)~(rt?-.
Iam presently incarcerated in: / iMOlSfjJ fsf/itr. J/9/1 UaJiT
I < i rf Corrections Unit Name
in:
City
M£L
County
Jflrvfc. Tex^_s
State
-ILM6J.
Zip Code
I declare under penalty of perjury that all information in the attached document titled,
, is true and correct.