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201801500
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Last modified
12/9/2019 6:14:25 PM
Creation date
3/12/2018 3:44:08 PM
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DEEDS
Inst Number
201801500
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(f) SIGNATURES OF WITNESSES: <br />By signing as a Witness, I acknowledge that the Principal signed the Major Gifts Rider in my presence <br />and the presence of the other Witness, or that the Principal acknowledged to me that the Principal's <br />signature was affixed by him or her or at his or her direction. I also acknowledge that the Principal has <br />stated that this Major Gifts Rider reflects his or her wishes and that he or she has signed it voluntarily. <br />I am not named herein ,as a permissible recipient of major gifts. <br />ignatur of4Nitn s #1 Date <br />C74h-t IC Y,,, <br />Print N <br /><4 <br />c) V 0 t. ) <br />Address <br />eof,,e_ 3 76 J <br />City, State and Zip <br />. 1 of Witnes <br />J6vi0 D <br />Print Name <br />� u- J <br />t �I Y <br />Address <br />ocoa w-7( <br />City, State and Zip <br />Date <br />adA„c7)-0) <br />(g) THIS DOCUMENT PREPARED BY: A ti',-Ts /V Jn: oye") <br />( g 1 ?) /Zo <br />201801500 <br />©SmailLegalFirms LF205 Durable Power of Attorney Major Gifts Rider &f 5, Pg. 3 of 3 <br />
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