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2� 1 ���43� <br /> HUI] SIGNATLJRE PAC1E T� HEALTHCARE RE�ULAT�RY AGREEMENT— <br /> B�RR�WER <br /> HUD: <br /> Secretary of Hous�ng and TJrban l]evelopment, <br /> acting by and through t�e Federal Hausing <br /> �ommis�ioner <br /> n <br /> By: �..� _ <br /> . <br /> Ro ger A. Lewi s J <br /> Authorized Agent <br /> �ffice af Residential Care Facilities <br /> ACKN��VLEDGEMENT <br /> STATE �F �'�TVASHINCIT�N } <br /> } 55: <br /> ��LTNTY �F KING } <br /> I certify that I �now or have s tisfact�ry evidence that Ro er A. Lew�s is the person who <br /> appeared before me, �n this day�f September, ��15, and said person acknowledg�d that <br /> he signed this instrument, on oath stated that he Was authorized to execute the instrument and <br /> acknoW�edged it as the Authorized Agent of the Secretary of U.S. Department of H�using and <br /> Urban I]evelopment, acting by and through the Federal Housing Commissioner, Director in the <br /> �ffice �f Residential Healthcare Faci�it�es, U.S. Department of Hausing and Urban <br /> Develapmer�t, and that he, being authorized to do so by virtue of such aff�ce, ex�cuted the <br /> foregoing instrument�n behalf�f the Federal Hausing �ommissianer, acting for the Secretary of <br /> the U.S. Department af H�using and Urban Development, to be the free and voluntary act of <br /> such party for the uses and purposes mentioned in th� instrument. <br /> WITNESS my hand and officia� sea�. <br /> ��E Notary �c <br /> Notary Pu�r��c ' <br /> - • � <br /> tate of�ashxa va rint Name , � <br /> ��� <br /> s � �P } <br /> MARSHA A�xALLi�h� <br /> �III�'��MMISSI�I�EXPIRES . . ...�.� <br /> Au�vsT 2�,���� R�s�d�ng at <br /> . . . � <br /> My commissron exp�res: <br /> l <br /> Pre�iaus versions obsole�e Page 34 of 3S form HUD-9�466-�R�F �D�12D�4} <br />