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CA <br />Signed this /-0 day of 12005 <br />Lienor: �4 Y1&'1 o <br />B: <br />y 0, � 0 <br />Officer or Agent <br />State of , Q t�ra <br />County of } <br />On ;�z.�; 3\ -- ---- 20 <br />before me, <br />t�c <br />appeared <br />personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is /are <br />subscribed to the within instrument and acknowledged to me that he /she /they executed the same in his /her /their authorized <br />capacity(ies), and that by his /her /their signature(s) on the instrument the person(s), or the entity upon behalf of which the <br />person(s) acted, executed the instrument. <br />WITNESS my hand and official seal. <br />Signature <br />nature of Notary <br />Affiant Kn"n Produced ID <br />Type of ID <br />(seal) - -.�_- � � <br />�) GENERAL NOTARY - State of Nefx-aska <br />STACEY Ai RUZICKA <br />My Comm, EV. NIy 10, M <br />Page 2 <br />www.socrates.com 0 2004, Socrates Media, LLC <br />0136 - Rev. 04/04 <br />