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E <br />EVEFiETT PUUCE DEPARTMENT STATEMENT FORM <br />CASE: # DD U%—' .� lU l� <br />ALTERNATECONTACT <br />-�1�-,5"�� �`.�}o' � z _<_� <br />J t� ���� � �(c S[� ✓�- �(,,i2 <br />WORK/CELLq: 'GLS Z�O 2�5 % <br />�� <br />THIS STATEMENT WAS WRITTEN ON MY BEHALF BY: <br />i DECLARE UNDER THE PENALTY OF PERJURY UNDER HE LAWS OF THE STATE OF WASHINGTON THAT THE <br />FOREGOING WFITTEN STATEMENT, CONSISTING OF � PAGES, IS TRUTHFUL AND ACCURATE TO THE <br />BEST OF MY P ONAL KNOW LEDGE. EACH PAGE A D ALL CORRECTIONS, IF ANY, BEAR MY INITIALS. <br />I HAVE REA AV[ BEEN READ [] THE FOR OING DECLARATION D UNDERSTAND TH THIS <br />DOCUMENT MA BE USEO IN A COURT OF LAW. (�) <br />� ,..�...,�......,".,..�u^1'—�--��� � �oFFir.rnoawir�+csssicruiueE� —..—._. . <br />--�C/e%�L-!---� �—.---'. .. <br />�CI f Y ANU Si�LF.1YMGOfi SICNfD7 <br />��fl�'C -_� O� _/._- <br />�_f 2 - �—G�._ _ <br />��AIt OF SIA7[kENT� <br />(INIT.) <br />I'1111�IX�. �,:�1` <br />�/� <br />