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CERTIFICATE OF CUSTODIAN <br />STATE OF HAWAI`I <br />COUNTY OF HAWAI`I <br />I, William Brilhante, Jr. , being first duly sworn, state <br />upon my oath that I am the custodian responsible for making the inventory attached hereto; that I <br />know the contents thereof; that the same is full, true and complete, and that the items enumerated <br />therein are at present in my possession, custody, control or use and that the amount set opposite <br />each item is the original cost according to my best knowledge, information and belief. <br /># Pages:,Authorized Signature <br />sacpa� ►e 1�e ;r Circuit g <br />�rrt�• (4,�n� a <br />�EJl lip ® k f��` ®Aaa� Interim Executive on Aging <br />n: g— <br />S�qT • D \c�Ptio -- Title <br />Ids Office of Aging/Administration <br />WPM <br />s4reura Department/Division <br />NOTARY CERTIFICATION <br />,anurrrrr, , <br />Subscribed and sworn to before me this � d S <br />® day of �!e 4,. �.►� C�`"'•.20 <br />�w. <br />Notary PubliAN(� Judicial. Court, State of Hawaii <br />My commission expires `�' '"•���9T� OF Np <br />Date <br />I hereby certify that all properties listed on the inventory hereto attached have been <br />transferred to the custody of <br />Signed: <br />Date <br />I hereby acknowledge receipt of all properties listed on the inventory attached which have <br />been transferred to my custody by <br />Signed: <br />Note 1. Inventories are required by law to be prepared as of the 301h day of June of each year. Such inventories <br />shall be accompanied by the Affidavit of the Custodian set forth above, subscribed and sworn to before a person <br />authorized by law to administer oath. The certificate of transfer and receipt will not be executed. <br />Note 2. A full and complete inventory shall be prepared when any employee responsible for property belonging to <br />the County of Hawaii is relinquishing his/her duties to a successor. Such inventories shall be accompanied by the <br />foregoing Affidavit as well as the certificates of transfer and receipt. <br />Note 3. Custodians are required to submit all inventories to the Property Management Division of the Finance <br />Department on or before August 15, for transmittal to the Hawaii County Council. <br />