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<br />STATE OF;...',.,.~;.....,...................,....,...,..............." County of ,..........................,..,.......................,....,:
<br />
<br />I;IefJie )n,l), a notary public qualified for said county, personally came
<br />
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<br />known to me to be the identical persnn nr persons whn signed the fnregoing instrument and aclmowlecged
<br />the execution thereof to be his, her nr their vnluntary act and deed,
<br />
<br />Witness my hand and nntarial seal nn ......
<br />
<br />19............
<br />
<br />... .....,..,..,..,.....,... ......,................'.....",......"..,....... ......, N ntary Public
<br />
<br />~fy enmmission expires ......,.....,.....................,..............,.., 19..........
<br />
<br />STATE OF ..........................................'..........,..,.... Cnunty of ...
<br />
<br />Before me, a notary public qualified fnr said cnunty, personally came
<br />
<br />knnwn to me to be the identical person or persons whn signcd the foregoing instrument and acknnwledged
<br />the execution thereof tn be his, her or their voluntary act Hnd deed,
<br />
<br />Witness my hand and ]]otarial seal 0]] ,
<br />
<br />19,..........,
<br />
<br />..........,............ Notary Public
<br />
<br />~1~' commission expires ...................................................., 19............
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