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4/16/2012 4:31:14 PM
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4/16/2012 4:27:10 PM
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008-058
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M <br />FORM OF ACKNOWLEDGMENT FOR INDIVIDUALS <br />State of... ............ <br />ss: <br />Countyof , , , 1a11 .................. <br />Personally appeared before me, a Notary Public in and for the <br />County and State aforesaid,..... Mildzed• Cloe,.& vidQw .............. <br />who .,is... known to me to be the same person who executed the fore- <br />going lease, and who acknowledged thatshe signed, sealed, and <br />delivered the same as , ,!per ... free and voluntary act for the uses <br />and purposes therein set forth. <br />Done at... , :: �'?'N- r:rt -t. •t: `: �, it .he County and State <br />aforesaid, this ........... =.. , day of . <br />r t <br />s' x <br />Notary Public. <br />` <br />My commission expires <br />q >- <br />POD Form USSa <br />Jul. 1956 <br />h <br />�' r-1 n to <br />p <br />tiko <br />t <br />r+ <br />CL <br />m `t p . <br />pip <br />�v, Ll. <br />-n p �, O y p "n <br />'� <br />. <br />,`�l�1 <br />O <br />M r? <br />lm C <br />x.01 <br />i <br />bow. <br />
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