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PAUL D. PATE Application for - Iowa

PAUL D. PATE Application for Secretary of State commission as State of iowa Notary Public Read instructions before completing this Application . Please type or print information clearly. 1. Applicant s Name (as it will appear on the commission ): _____ First Middle (Optional) 2. Applicant s Home Contact Information: _____ House Number Street Name City State ZIP Code _____ _ Home Phone Number Home Email Address 3. Applicant s Employer Contact Information: __ Employer s Name _____ Building Number Street Name City State ZIP Code _____ __ Applicant s Work Phone Number Applicant s Work Email Address 4.

PAUL D. PATE Application for . Secretary of State. Commission as . State of Iowa. Notary Public . Read instructions before completing this application. Please type or print information clearly. 1. Applicant’s Name (as it will appear on the commission): _____

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