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i ~rwz~ ~ .... ...,.... .............................. c~at~t~ af ......................................._, mare mere, a ~ pnblio qualified #br' said amnesty; personally e~me ~: r:. ~ . known to me to be Che identical person or persons who signed the foregoins . ~ **vment sad acknowledged the eaeontion thereof to be his, ber or-their voluntary set and deed. Witness my hand and notarial seal on ......................................................................... 19............ ..................................................................................... Notary Public My commission expires ..................................................... 19.......... STATE OF ............................................................. County of ............................................................: Before me, a notary public qualified #or said county, personally came known to me to be the identical person or persons who si{tned the foregoing instrument and acknowledged the ezeaatioa thereof to be his, her or their volnatary act and deed. '' Witness my hand and notarial seal on ................................................................................................. 19.......... ...................................................................................... Notary Publio 3iy commission expires ..................................................... 19............ ~. ~ .. -~ ei . ,e ` ~~ ~~ ii . i iv o ~~ ~ ~ .-. ~ I .. ~ ~ ~ ~ I I o ~ a i S i ~ ,^ .a~°. i i VG' p ~ i ( ~ ~ ~ b ;;' w , y ~ ~ ~ ~ ° a { ~ . i ~~ ~~ sk ~ ~' +~ :< ~ ': ~ ~. ~ ~ + - ta' ` ~ J~_ i ~` 4ii . ~. bR. ':. ~.- ~~ _ r„ ~ 3 w 4 N Q