Witness Form for HJR 19 Hearing on Mar 12, 2013 - Health Care Freedom Amendment

==== 2013-03-12 00:00:00 ==== Witness Form for HJR 19 Hearing on Mar 12, 2013 - Health Care Freedom Amendment

You are witness # 533 for this bill.

MISSOURI GENERAL ASSEMBLY
WITNESS APPEARANCE

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HOUSE SENATE	DATE COMMITTEE BILL_NUMBER Health Care Freedom Amendment
Witness Information
NAME_OF_WITNESS -- First	Middle	Last
HOME_ADDRESS
CITY	STATE	ZIP
HOME_PHONE_NUMBER
BUSINESS_ADDRESS
CITY_2	STATE_2	ZIP_2
BUSINESS_PHONE_NUMBER
Speaking (check one) FOR AGAINST Informational
ORGANIZATION INFORMATION
Government Agency, Person, Business, Lobbyist, or Organization, if any, on whose behalf I am appearing:

TESTIMONY
If written testimony is not provided, please summarize very briefly the testimony to be presented. Please attach a copy of the written statement if one is available. NOTE: Save your comments to another document in case this connection times out.

Digital Signature (Check this box to affirm the statement, below.) I affirm that, to the best of my knowledge, information and belief, the oral and written testimony I presented to this committee is true and correct. A witness who provides false testimony may be subject to criminal prosecution for perjury or other offenses, or contempt proceedings pursuant to Article III, Section 18 of the Missouri Constitution.
THE INFORMATION ON THIS FORM IS PUBLIC INFORMATION UNDER CHAPTER 610 RSMO.

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Past Witness Forms

Copy	DATE	H	S	COMMITTEE	BILL_NUMBER	Bill_Description	First_Name	Last_Name
	01-01-1970