3M Unfiled Case Census Form ESignature
EXHIBIT BUnfiled Case Census FormInitial Census Questions
I declare under penalty of perjury pursuant to 28 U.S.C. § 1746 that all the information provided in response to these Initial Census Questions is true and correct to the best of my knowledge, information and belief formed after a reasonable inquiry. I understand that I am under an obligation to supplement these responses.
Today's Date: Claimant Name: Claimant Email:
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Document Name: 3M Unfiled Case Census Form ESignature
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