EFTA00093034

# CERTIFICATE OF AUTHENTICITY OF BUSINESS RECORDS

I, ___ (Name), attest on penalty of criminal punishment for false statement or false attestation that I am employed by ___ (Name of Business from which documents are produced) and that my official title is ___ (Official Title). I further state that each of the records attached hereto is the original or a duplicate of the original of records in the custody of ___ (Name of Business from which documents are produced). I further state that:

A) such records were made at or near the time of the occurrence of the matters set forth, by (or from information transmitted by) a person with knowledge of those matters;

B) such records were kept in the course of a regularly conducted business activity;

C) the business activity made the records as a regular practice; and

D) if any of such records is not the original, such record is a duplicate of the original.



___ (Signature)

___ (Date)



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SBU -LAW ENFORCEMENT