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CERTIFICATE OF APPEARANCE

This is to certify that the following lawyers appeared for an


administrative hearing at the __________________________ at 3:00 pm on
_________________________ to represent their IBP free legal aid client,
______________________________:

1. __________________________________; and
2. __________________________________.

This certification was issued as per their request for the crediting of
their hours under the Mandatory Community Legal Aid Service.

Given this ____th day of _______________, 20___ at _________, ______________.

Authorized Officer

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