FORM 54-5M
STATE OF LOUISIANA
CIVIL DISTRICT COURT FOR THE PARISH OF ORLEANS
OATH
No. DIVISION DOCKET
BEFORE ME Notary Public for the Parish of Orleans, personally came and appeared
who solemnly swear that singular the duties of So help God. Sworn to and subscribed before me this day of 19 A.D.
will well and faithfully perform all and
NOTARY PUBLIC
Filed
19 Deputy Clerk.