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CERTIFICATE OF CUSTODIAN <br />STATE OF HAWAII <br />COUNTY OF HAWAI`I <br />I, L4.�- K������ , being first duly sworn, state upon my oath <br />that I am the custodian responsible for making the inventory attached hereto; that I know the <br />contents thereof, that the same is full, true and complete, and that the items enumerated therein <br />are at present in my possession, custody, control or use and that the amount set opposite each <br />item is the original cost according to my best knowledge, information and belief. <br />Subscribed and sworn to before me this <br />N.WWW t. FAACw/ &4A'X� <br />Notary Public -4 Judicial Court, State of Hawaii <br />My commission expires MH o1l1AofA <br />day of <br />Date <br />Authorized Signature <br />Title <br />Department/Division <br />20 X <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 301 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 />