Icfl
n tFffy%i
am 01
tJJfj
Vs.
% 'ZmimyM.
%. MeJ..
i^Jei/£-LohJAQ^
9t
=m^ '/nn.^lor JJ^T^utt-
^Jp-a^Xun-e.^
pnttld/fla^Juda£_-or&&r-Z0ix-
4&&z- i^JMd^t 'J2&L
^,-&Qd
ZJ/M^r&MM/?£gd>—j2ZL
y-
9^Z$££Zl£L d%£#L^
J#m&&
-£2£^2£l/j^
NOTICE
INMATE NOTARY PUBLIC SERVICE
Under both Federal Law (28 U.S.C. §1746) and State Law (V.T.C.A. Civil Practice &Remedies
Code, &132.001-132.003), inmate incarcerated in Texas may use an unsworn declaration under
penalty of perjury in place of awritten declaration, verification, clarification, oath, or affidavit
sworn before aNotary Public. An example of an unsworn declaration is as follows:
Unsworn Declaration
-t£
I, Offender jffl>6ftd cJn^ph bfrOX'• ,TDCJ Number /%{fl(n%3
am presently'
., '•incarcerated
i_J at the7Mark W.
-* +T,/iwr«,.ir W Stiles
Still Unit of the Texas Department of Criminal
Justice in Jefferson County, Texas declare under penalty of perjury that the above is true and
correct,
Signed on the iZJT day of fehrtUkOy ,20 J5_
Printed Name
Unsworn Declaration
oucLa
.j$hA<^Ldmie.fmJqmy-
US
oli/CLf)
ejybT^£0.^sT^d~io,DA.^JJiendmnU- c/yMsiM/.ene_vfploTe.a, . __ ._ _____ .. . - .
2. lacl"c\ AlppllnA.nl (jWiihtLel Jn<:eph l^ray) nnlydatl ^AuTy or \JetLyjecrf&ud CK
j9.LLmlrA.^a^tie&jd»lojoy^
y.eattf^&#d„ncJl±br^Jlte.4. X^ /Q/Mocfc^^ teovlred-
To Jieofsjjefi. _toc. Te.n_yeac5:.(Ka.d-fi.6TL [rt&^js-Tke./^.rjLfcle._uod^^_cJkfch^MpplicOsML^
M0b-(/^a&P^^mcle.^lJu2.,/.A.nd^ We ujordmty /n Th& fndfcrM*%r d Tncq~ nad
iey/.s/(2..i
.P-S-VMLtkn^dzir/Te.
Let). y,G.&j3X.^.^-
Lrhe^JstdLe..^
JS-^jtnQ^y<3<&r^7TppllcQJ^
&&__22. 2:25° 2Q/cr
Q
ie.i/<_L
-b.<2^aacL.c^^p.cep.o.ac{^ee<&n-c&^tt
JCLo.a£n°£utk£L-d&
•
2-15° 20/S