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Stale of <br />County of <br />On before me, <br />DATE NAME, TITLE OF OFFICER- e.g. JANE DOE, NOTARY <br />personally <br />NAME(S) OF SIGNER(S) <br />^ Personally known m me -OR- ~ proved [o me on the basis of satisfactory evidence to be <br />[he person(s) whose name(s) is/are subscribed to the within <br />instrument and acknowledged to me that he/she/they executed <br />the same inhis/her/their authorized capacity(ies), and that by <br />his/her/their signature(s) on the instrument the person(s), or <br />the entity upon behalf of which the person(s) acted, executed <br />the instrument. <br />WITNESS my hand and official seal. <br />Signature of Notary <br />Claim No.: s6a s 26673 Page 2 of 3 <br />