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10 <br /> 1lous.e of Representatives <br /> Washington, D.C.20515 <br /> District Office Lease Attachment <br /> (Page 4 of 4—113t Congress) <br /> IN WITNESS WHEREOF,the parties have duly executed this District Office Lease Attachment as of the <br /> later date written below by the Lessor or the Lessee. <br /> Print Name(Lessor) Print Name(Lessee) <br /> Lessor Signature Lessee Signature <br /> Date Date <br /> From the Member's Office,who is the point of contact for questions? <br /> Name 1j11 Act<tttl l A Phone(11/S )i52-3I gg E-mail —h)I.r�li�_ k i t i l ll Chi (r?mail.house.gov <br /> This District Office Lease Attachment and the attached Lease or Amendment have been reviewed and are <br /> approved,pursuant to Regulations of the Committee on House Administration. <br /> Signed Date ,20 <br /> (Administrative Counsel) <br /> • <br /> Send completed forms to:Administrative Counsel,217 Ford House Office Building, Washington,D.C.20515. <br /> Copies may also be fared to 202-225-6999 <br /> 70 <br />