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CERTIFICATE OF CUSTODIAN STATE OF HAWAI`I COUNTY OF HAWAI`I I, ✓ ,(llanrz t , ►n., being first duly sworn, state upon my oath that I am the custodian re`�ponsible for making the inventory attached hereto; that I know the contents thereof; that the same is full, true and complete, and that the items enumerated therein are at present in my possession, custody, control or use and that the amount set opposite each item is the original cost according to my best knowledge, information and belief. I ��''�•, .._.._._..___w...,..... ..�`' Gorr �`� �.r,S---�- �.•` Se . - - • Authorized Signature ♦ { i /Io" 0 { t Title Q- %r '. FU�V .' ,� • P • Department/Division Subscribed and sworn to before me this day of 20 1-6" Notary Public 3Rrd Judicial Court, State of Hawaii My commission expires V 12 UP. Date I hereby certify that all properties listed on the inventory hereto attached have been transferred to the custody of Signed: Date I hereby acknowledge receipt of all properties listed on the inventory attached which have been transferred to my custody by Signed: Note 1. Inventories are required by law to be prepared as of the 301h day of June of each year. Such inventories shall be accompanied by the Affidavit of the Custodian set forth above, subscribed and sworn to before a person authorized by law to administer oath. The certificate of transfer and receipt will not be executed. Note 2. A full and complete inventory shall be prepared when any employee responsible for property belonging to the County of Hawai `i is relinquishing his/her duties to a successor. Such inventories shall be accompanied by the foregoing Affidavit as well as the certificates of transfer and receipt. Note 3. Custodians are required to submit all inventories to the Property Management Division of the Finance Department on or before August 15, for transmittal to the Hawaii County Council.