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AFFIDAVIT
I, Amanda N Cobaugh, (age) 23, residing at 1.891 Medow Ridge Dr., Hummelstown PA
1.7036, do swear or affirm. that:
t . I am a citizen of the United States, and eighteen years of age or over.
2. 1 have never been convicted of a crime involving moral turpitude under the laws of
this Commonwealth, or of any other state, or of the United States.
3. That I have not, for the period of two years immediately preceding the filing of this
affidavit, acted either for myself or as the agent or employee of another, in any labor
dispute, or hired myself out or performed any service as a private detective, privai;e
policeman or private €;uard in any labor dispute, or received any fee or compensation
whatsoever for acting as a private detective. private policeman or private guard in any
labor dispute, or conducted the business of a private detective agency, or of any
agency supplying private detectives, private policemen or private guards, or
advertising or solicited any such business in the Commonwealth iin connection with
any labor dispute.
(Signature)
Sworn (or Affirmed) and. subscribed
Before me this ~ l ~ ~-day of
20 ~- `,'
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NorARlA~. s~AL
i CLAUDlA A. BREWBAKER NOTARY PUBLIC
Carlisle Boro. Cumberland County
My Commission Expires April 4, 2009
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~'" L1J ° Doe 10/20/1984 sex F
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N Expires 10!21/2008
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~ AMANDA NICOLE COBAUGH
~ 1891 MEADOW RIDGE DR;
0 FIUMMELSTOWN PA 17036
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