ORS 193.340 Proof of broadcast

Proof of publication of the notice or other material under ORS 193.310 to 193.360 and 251.295 shall be by affidavit of the owner, manager, assistant manager or program director of the station, in substantially the following form:

______________________________________________________________________________

State of Oregon, )

) ss.

County of ______ )

I, _____, being first duly sworn, depose and say that I

am the owner, manager, assistant manager or program director of station _____, a radio (television) station broadcasting from _____ in the aforesaid county and state; that the notice (or other material) described as _____ was broadcast on the following days: (here set forth dates and times when the same was broadcast).

________

Subscribed and sworn to before me _____

___

,

2___.

________

Notary Public for Oregon

My commission expires: ______

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