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'`.; , .:... , ..•:' . ;. f ' <br /> tbat••grnn(,or haa goud rigl�t�nnd lnwiol auth�rity to couvey th�snme;nnd�L`t�lz.grsf►tar vrarrxnta and willi dufenfi.:;� 1 <br /> the title to eaid premiuc� a8aiinat Lhe 1�twfvI claimr�of sll pemone who��vcu, •_'f-✓ � �L�� �' <br /> Y��t� �.^�.,_�,,,,f...u.n*nv I�Oa}IASAlIII*11(!AllMl� �Y6 4.�TDDTatB Ocii-CO YQ iLLf���LY9��DY9�QX1b.�ftld.I. (1 <br /> Itt -�__.. ,a.---- � <br /> ! 1_Us it� Prexident. - _.� .-��-- <br /> Dtf.ad (�AY 3RD x9 yb . . --- --- <br /> . f� RF�I� INC <br /> , � ...... ��•........,..�a.�ti <br /> � , <br /> � . !� <br /> N�................County of ..... ' <br /> g'I'A°P�OF. .,. ..... ., ................ <br /> Ttue foregoin�inaCnxment au a►eknowledg�d b�for�m� ..............�Y.�..............L4'i�... <br /> ? ,.� <br /> t,... .�FF't�Y.�r.�i. I?RESYDENT.......,... af ....�.1�.��.�NG�...................... <br /> V'�l:iarne cnd 0[ttee! (Nome of Corporatlon) <br /> Q.......... .�KA......................oosporatic�a,�on boha]f of tho 0o ration. � I <br />_ � . I <br /> : . ..,.... I <br /> Signature of Person Takl� �cknowled�e� �t � � <br /> � a�xMar�ra�M� .('Jo�'�Y Pu�;.ac . ... .. ................... � <br /> OEApdI 1.1�RIAK� Tsete i <br /> I�j�d�a�W�IM�d�1�1!!1 . .. . . .•• � <br /> STATE �b�.... ...�..................... <br /> � ss. , <br /> �` Couatp .._.... ......................... <br />__ ! 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