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£c>A/5g06fcAr?<frJ» : : Qssp&cr PJjllcj £A^m- INMATE'SDECLARATION

I, JLWrgl S &t/cT&MS am the iapplicani / petitioiief (circle one) and being presentlyincarcerated in TDxC^//.^>f/ir2 tjLMEC'•> declare imdler penalty of perjurythat, according tomy belief, the facts stated inthe above application are true and correct.

Signed on ^f/A^