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<br />ST ATE:OF ...................................,} ...0. ..n~.tltlS.. ...:'.'.......;'.............,..'.:~.Ji.. ~ or..,..............,........... .....................'........., 19...........' .bef...o.re
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<br />....................c.........................Cou..ty i...__t.);~;.j~';.'~Ik4~tSibI1#a:.~..Jl otary Public, duly commisSioned atld qualified for
<br />in said county, .personally cattle................;..............,..........,.....c~....,....:...:,...............:..::..,
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<br />to file. known to be the identical person or persons whose naule is ornalnes arc
<br />affixed to. the foregoingillStmment and acknowledged the esecutiotl thereof to b~
<br />his, her o.r t/setr 'Voluntary act and deed.
<br />H'itness my hand and Notarial Seal the day and year last above written.
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<br />(SEAL)
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<br />'....000.........'000..'........ ~"...........,................:N otary PubliC
<br />My Commission expires the..m.......m.day of..m.....'..............m'...;'.........., 19.,''''''
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<br />On this..............m..m..day ofm..m'..........m...'................................, 19,........,., before
<br />me, the undersigned a Notar)' Public, dilly c-otnmissioned and qualified for
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<br />in said count)', personally Carnem......mmm..m..mm...m....hm'..m..m'...m...'....m'm...m..'
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<br />..._n............__......_.__.... .__n......___._.____._...______.___...___._..___.__...__............-.. .-...-..-..........-'........-......-...
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<br />to tHe kntrdl1l to be the identical person or persons whose name is or names are
<br />affixed to the foregoing instrument and Qc-knou.ledged the execwtion 11,ereof to be
<br />his, her or tllcir voluntary act and deed.
<br />Witness my hand and Notarial Seal tI,e da)' and )'ear lasl abm!e noritten.
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<br />(SEAL)
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<br />My COJllmission exPires fhem.....n..,mda), of..,.......................................... 19........
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