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Unformatted text preview: may result in my pay be.ing .w. ithheld and subject me to possible disciplinary action. In additfon, for purposes of my background investigation, I hereby certify that, in addition to being an "active" member of the bar in the jurisdiction identified above,: I am a member of the bar of each State or territory listed below: State Date of Admission" Membership Status (For.each State listed, you must check one) Active Inactive (Provide month, day and year) Signature Date FORM DOJ- 54 ~ULY...
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- Spring '08