FORM A: CERTIFICATE OF AUTHENTICITY OF BUSINESS RECORDS
I, .. .. .. .. .. .. .. .. .. .. .. .. .. .. .., attest on penalty of (Name) criminal punishment for false statement or attestation that I am employed by .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... (Name of Business from .. .. .. .. .. .. .. .. .. .. .. .. .. .., and that my official title which documents are sought) is .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .., I further state that each (Official Title) of the records attached hereto is the original or a duplicate of the original of records in the custodyof .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... (Name of Business from which Documents are sought)
(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 such records as a regular practice; and
(D)if such record is not the original, such record is a duplicate of the original.
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... (Signature)
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... (date)
FORM B: ATTESTATION OF AUTHENTICITY OF DOCUMENTS
I, .. .. .. .. .. .. .. .. .., attest on penalty of (Name) criminal punishment for false statement or attestation that my position with the Government of .. .. .. .. .. .. .. ..(Country) is
.. .. .. .. .. .. .. .. .. .. .. .. and that in that position I am(Official Title) Authorized by the law of .. .. .. .. .. .. .. .. .. .. to attest (Country) that the documents attached and described below are true copies of original official records which are recorded or filed in
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..(Name of Government Office or Agency) which is an office or agency of the Government of
.. .. .. .. ... (Country) .. .. .. .. .. .. .. .. .. .. ..
Description of documents:
.. .. .. .. .. .. .. .. .. .. .. .. .. .. ... Signature
.. .. .. .. .. .. .. .. .. .. .. .. .. .. ... Title
.. .. .. .. .. .. .. .. .. .. .. .. .. .. ... Date
FORM C
I, .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... certify that I am (Name) .. .. .. .. .. .. .. .. .. .. ... employed in the .. .. .. .. .. .. .. .. ... (Title) (Name of .. .. .. .. .. .. .. .. .. .. ... I received custody of the Government Office or Agency) articles listed below from
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..on .. .. .. .. .. .. .. .., at
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. (Date) (Place)as when I received them (or if different as noted below). Description of articles:
Changes in condition while in my custody:
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Signature
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Title
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... Place
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... Date
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