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I <br /> Complete required fields below <br /> I certify that I have read and understand the terms of this Agreement with the North Carolina <br /> State Bureau of Investigation , Criminal Information and Identification Section , and I will uphold <br /> the Agreement . <br /> I <br /> Orange County , North Carolina <br /> I certify that the following person ( s ) personally appeared before me this day , each i <br /> acknowledging to me that he or she signed the foregoing document : I <br /> f i <br /> By . Travis Myrenr , <br /> Printed Name of AGENCY Authorized Official gna re of AGE Y Authorized Official <br /> i <br /> Date : <br /> Official SIT4re of Notary Public <br /> I <br /> J , Y � <br /> Notary's Typed or Printed Name <br /> i <br /> I <br /> °\\I \ I \ luulq► <br /> va JEN$ �,, My Commission Expires <br /> ••' NOTARY <br /> 4111 • Ptl� `z_ <br /> s xw Ea: 4110 <br /> o <br /> r • c j, qt <br /> 2 <br /> i <br /> I <br /> i <br /> I <br /> € € <br /> NCSBI OFFICIAL USE ONLY <br /> This Access Agreement becomes effective on <br /> MONTH / DAY lYEAR <br /> I <br /> Approved bye <br /> Denied bye <br /> I <br /> E <br /> I <br />