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<br /> �TATi?OF_N�$T_3Sk1.--•-•--••-- On this---------5t21--------day of------------------•-------•
<br /> ss.
<br /> .......................H.a.].�-....,.__.._County me, the undersigned a Notary Public, duly commissioned and qualified for
<br /> said County, personally came___W�Jack___Smith.__and.__Dorathy___5mith�
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<br /> ,; 4 ,F� to me kno�vn to be the identical person or persons whose name is or names are
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<br /> "�'� � ; : �� �';. subscribed to the foregoing instrument,and ackno��leciged the execution thereof to
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<br /> ' Witness my hand and Notarial Seal the day and year last above ��ritten.
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<br /> STA�rr or---------------------�------------- � On this.-------------------------day of-•-•--•••---••---•-•-•-•-•--...-------•---•-•---•--•---., 19.---....__, Uefore
<br /> ss. �
<br /> ______________________________________________County ) me, the undersigned a Notary Public, duly commissioned and qualified for
<br /> saidCounty, personally came.------•----------------------••--------------••----••---••-•---•---------------------------
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<br /> to me kno���n to be the identical person or persons �vhose name is or names are
<br /> suUscriUed to the foregoing instrument,and ackno�vledged the execution thereof to
<br /> be,his,her or their voluntary act and deed_
<br /> �Vitness my hand and Notarial Seal the day and year last above written.
<br /> --------------------------•------------------�---------------------------Notary Public.
<br /> My commission expires the---- ---------aay of---------- -----------------------------------, 19--------
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