Settlement Agreement Page 5

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OAL DKT. NO. CSV ___________________
CERTIFICATION
I, _______________________________, being the moving party in this matter,
hereby certify that I have reviewed this Settlement Agreement and fully understand its
meaning and terms. I acknowledge my understanding and verify my acceptance of the
terms of this Settlement Agreement. I acknowledge that my representative questioned
my understanding, verified my acceptance of the terms of this Settlement Agreement,
and answered all my questions regarding this settlement to my satisfaction.
I am
satisfied with my representation and I enter into this Settlement Agreement voluntarily.
I also understand that if this Settlement Agreement is approved by the CIVIL
SERVICE COMMISSION, my claim against the Respondent will terminate.
I certify that the foregoing statements made by me are true. I am aware that if
any of the foregoing statements made by me are willfully false, I am subject to
punishment.
DATE
NAME
5

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