EXHIBITX

Affidavit For Business Records

On April 19, 2017 , Jane Doe appeared before me , and after being placed under oath affirmed the truth of the following:

"My name is Jane Doe. I am over the age of 18 years , of sound mind , and personally acquainted with the facts stated in this affidavit.

1. "I am the custodian of records of**** Employment, and am familiar with the manner in which its records are created and maintained by virtue of my duties and responsibilities.

2. "Attached are 20 pag es of records. These are the original records or the exact duplicates of the original records.

3. "The records were made at or near the time of each act , event, condition , opinion , or diagnosis set forth.

4. "The records were made by , or from information transmitted by , persons with knowledge of the matters set forth.

5 . "The records were kept in the course of regularly conducted business activity.

6. "ft is the regular practice of the business activity to make the records."

Jane Doe, Affiant

Sworn to and subscribed before me on the_ day of ____, 2017.