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Grantee: <br />UNITED STATES OF AMERICA <br />Acting by and through the Secretary of the Interior <br />SAMPLE DOCUMENT — NO SIGNATURE REQUIRED <br />By <br />Cindy Orlando <br />Acting Regional Director <br />National Park Service <br />Date <br />AcxNOWLEDGEMENT <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed <br />the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California ) <br />) ss. <br />County of San Francisco } <br />On <br />before me, <br />personally appeared _ , who proved to me on <br />the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the <br />within instrument, and acknowledged to me that he/she/they executed the same his/her/their <br />authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or <br />the entity upon behalf of which the person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that the <br />foregoing paragraph is true and correct. <br />WITNESS, my hand and official seal. <br />SEAL; <br />(Signature of Notary Public) <br />Centennial Park / GSA Ns Z-Calif-598B, C&D Page 19 of 22 <br />Deed of Release <br />