Irving Independent School District Forms Page 6

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Irving ISD
057912
ADMISSIONS
FD
(EXHIBIT)
Signature of (Parent/Guardian) Affiant
Typed or Printed Name of Affiant
STATE OF TEXAS
COUNTY OF
SUBSCRIBED AND SWORN TO BEFORE ME on this the __________ day of
________________________, ________.
Notary Public, State of Texas
DATE ISSUED: 2/6/2006
2 of 2
LDU-06-06
FD(EXHIBIT)-X

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