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AFFIDAVIT OF CIRICULAR <br />The undersigned, being of lawful age, who being first duly sworn upon oath <br />deposes and says: <br />That (he or she) was the circulator of the foregoing Petition for Annexation of <br />lands to the City of Louisville, Colorado, consisting of a pages, including <br />this page and that each signature thereon was witnessed by your affiant and is the true <br />signature of the person whose name it purports to be. <br />Circulator <br />ACKNOWLEDGEMENT <br />STATE OF COLORADO ) <br />SS <br />COUNTY OF Ba- t- ) <br />The above foregoing Affidavil of Circulator was subscribed and sworn to <br />before me this _ day of © , 20 1 . <br />My commission expires on: //0420/g <br />Public <br />sas /3 <br />Address f3 <br />