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ACKNOWLEDGMENT OF PRINCIPAL-IF A CORPORATION
<br /> STATE OF
<br /> COUNTY OF } ss
<br /> Onthis..................................................day of............................., ........before me personally appeared
<br /> ...............................................................................to be known,who,being by me duly sworn,did depose and
<br /> say;that he/she resides at............................................................................ .. that he/she Is the.......................
<br /> ...............'Of......................................I....................................................the corporation described in and which
<br /> executed the within insurance instrument;that he/she knows the seal of said corporation;that the seal affixed
<br /> to said instrument Is such corporate seal; that is was so affixed by the Board of Directors of sold corporation;
<br /> and that he/she signed his/her name thereto by like order.
<br /> ACKNOWLEDGMENT OF PRINCIPAL-IF INDIVIDUAL OR FIRM
<br /> STATE OF
<br /> COUNTY OF I ss
<br /> Onthis....................................................day of.........................., ........ before me personally appeared
<br /> ................................................................................................to me know to be(the individual)(one of the firm
<br /> of•................................................................),described In and who executed the within Instrument and he/she
<br /> thereupon acknowledged to me that he/she executed the same(as the act and deed of said firm).
<br /> ............................................................................................
<br /> ACKNOWLEDGMENT OF SURETY COMPANY
<br /> STATE OF New York
<br /> COUNTY OF Westcheste } ss
<br /> On this ..� ,1. ................ before me personally came.......edict J.Tockarshewskx,...,,,,,,,_..,,,.
<br /> to me known,who, being by me duly sworn,did depose and say;that he/she resides in
<br /> Flushing,New York .......................:that he/she Is the Attorney-in-Fact of the
<br /> .. I�1�RALII�ISURANGE�QI�QI:ANx.QA IvI]~tu.C.�l..............................the corporation described in which
<br /> executed the above instrument;that he/she knows the seal of said corporation;that the seal affixed to said
<br /> instrument is such corporate seal;that is was so affixed by the Board of Directors of said corporation;and that
<br /> he/she signed his/her name thereto by like order;and the affiant did further depose and say that the
<br /> Superintendent of Insurance of the Stale of Ne York,has,pursuant to Section 1111 of the Insurance Law of
<br /> the State of New York,issued to ...Benedict J.. ockarsheWSKY ,,,,,,, , ,,,,,,,,,, , his/her
<br /> certificate of qualification evidencing the qualification of said Company and its sufficiency under any law of the
<br /> State of New York as surety and guarantor,and the propriety of accepting and approving it as such;and that
<br /> such certificate has not been revoked.
<br /> ............. Ca .. .....
<br /> NOTARY PUBUC,State of Now York Notary Public
<br /> No.01 MC5079M
<br /> Qualified
<br /> on Expire..,10ZY Commission 019
<br />
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