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WILUAM M, MAGILL, Clerk House of Representatives Melissa Kucserlk, State House First -Assistant Clerk Montpelier, V105633-5501 Rebecca Silbemagel, Tel: (802) 828-2247 Second Assistant Clerk e-mail: [email protected] Jeremy Weiss, Journal Clerk Dlerdre Allen, Resolution Clerk VERMONT HOUSE OF REPRESENTATIVES Chris Ditmeyer, OFFICE OF THE CLERK Clerk Assistant House of Representatives Disclosure Forth' Name: e-- A I serve on, or am a member of, the following Boards, Commissions, or Entities that are regulated by law or that receive funding from the State: Remuneration Board, Entity, or Commission Name, No Yes- Yes and Position (e.g. Board Member, Only Board Chair) Expenses e.g. mileage My Employer: (Salary disclosure not required) Signed this ay of 2019 0 oe'l Printed Name, please sign on back

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