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Af?davit of Salary Donation
Texas Local Government Code, sections 152.002 and 152.052

0n oath and under penalty of perjury, I swear that the following statements are true:
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1. My name is Diem-gm .

2. I am at least eighteen years of age.

3. i am Commissioner, Precinct 5 in Travis County, Texas, and as such am an elected
official.

4. i elect to reduce the amount of my services an annualized total of 5 ?Pal for the

Fiscal Year ending September 30, 2013.  ?b 13L, "was,   

5. I understand that the effective date of this af?davit will be the later of October 1, 2012 and
the date on which it is ?led with the countyr auditor. if filed later than October 1, 2012, the
reduction will be applied to the salary payments during the remainder of the county fiscal year.

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EEAED mini?1512111

Date Printed name:

State of Texas
County of Travis

Before me, the undersigned authority on this day personally appeared

[gram lol Du w: hack}! . Commissioner, Precinct known to me to be the person
whose name is subscribed to this Af?davit acknowledged to me that she executed it as
her personal act and deed in her official capacity, as stated in this affidavit.

Given under my hand and seal of of?ce, this 9 day of 291; 2012.

MW

Notary Public in and f5? Travis County, Texas
Printed name: Kafka/Mt (.119an
My commission expires: 10f az/xi?g?