This government document is issued by Department of General Services for use in Maryland
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https://www.google.com/url?client=internal-element-cse&cx=007821330218074952993:onlwepmdkw8&q=http://mcp.maryland.gov/Departmental%2520Forms/Form%252078%2520-%2520Consent%2520to%2520Search%2520and%2520Seize.pdf&sa=U&ved=2ahUKEwjF_bmLk63xAhW2AxAIHWSHDNw4FBAWMAJ6BAgJEAE&usg=AOvVaw2nAafhe_BiCGbQ15jhbp6S