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<br />54 <br />2 <br />EXHIBIT <br />civil <br />. <br />returned <br />and <br />official <br />PHA <br />2) <br />of <br />2 <br />(Page <br />appropriate <br />the <br />by <br />and accurate. <br />#: <br />DIRECTOR: <br />signed <br />be <br />PHONE <br />must <br />AND <br />EXECUTIVE <br />herewith, is true <br />: I hereby certify that all the information stated herein, as well as any information provided in the <br />OF <br />1012; 31 U.S.C. §3729, 3802). <br />NAME <br />BEDROOMBEDROOMBEDROOMBEDROOMBEDROOM <br />certification <br />SIGNATUREDATE:CONTACT <br />COMMENTS: <br />ThisCertificationaccompanimentWarning: Anyone who knowingly submits a false claim or makes a false statement is subject to criminal and/orpenalties, including confinement for up to 5 <br /> years, fines, and civil and administrative penalties (18 U.S.C. §§ 287,1001, 1010, <br /> <br />