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___________ (mm-dd-yyyy). Chief Administrative Officer/Authorized Official’s Name and Title (Printed) Telephone Chief Administrative Officer/Authorized Official’s Signature Today’s Date (mm-dd-yyyy) SECTION 4: GENERAL INFORMATION AND INSTRUCTIONS  Type or print using dark ink. Enter dates as month-day-year (mm-dd-yyyy). Use only numbers. Example: January 31, 2013 = 01-31-2013.  If you are certifying teaching service, the Chief Administrative Officer for the school or edu.

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