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E individual verifying the activity. To obtain credit, this form must have an original signature-do not copy. I hereby certify that _________________________________ has participated in the community service Name activity described below on ____________________________________ for a total of _________ hours. Date(s) (MM//DD/YY) _______________________________________________ Name and title of person verifying activity For verification purposes: _________________ Phone Number ___________________.

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  2. Type all required information in the necessary fillable fields. The intuitive drag&drop graphical user interface makes it simple to add or move fields.
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  4. Apply your e-signature to the page.
  5. Simply click Done to confirm the adjustments.
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  • confines
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