AFFIDAVIT TO AUTHENTICATE A RECORD		(v2)

	I, the undersigned ____________________________________________, attest:

1.  On _________________________ , I created a ______________________________ 		       	(dates) 						(video, audio, photo, etc. )
	record of incidents and/or testimony concerning the following events:

	__________________________________________________________________________
					(Identify Event, location, etc.)

2. The record was made using the following device:

	__________________________________________________________________________
				(Describe the device including make and model)

3. The record was obtained ____with/____without  the knowledge and consent  of the parties involved or depicted.  (Check one.)
4. The following record(s) are hereby presented: 
	(Identify tapes, photo sets as labeled; summarize contents, times & places.)

Affirmation:

   I certify that  ____(a) the records hereby presented are true & unedited original records as they were obtained, and/or  ____(b) that the copies provided are accurate reproductions of the originals.  (Check one or both as appropriate.)
   It is intended that the evidence provided be available to support any legal defenses and claims to which they may be pertinent, and I will testify to its authenticity in any case, as needed.

	I declare under the penalties of perjury pursuant to 28 U.S.C. 1746 
	that the above statements are true.

	Signed:_________________________________________     	______________
		  Name:							      Date
		  Address:
		  City, State, Zip:

Witnessed: