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State o! <br /> <br />County of <br />On~Z~ before me, <br /> DATE <br /> <br /> } <br /> NAME, TITLE OF OFFICER - E,G., 'JANE D(~E, NOTARY ~UBLIC" <br /> <br />personally appeared -~ ~::~'u/~r ~ ~U ~-Y,~ <br /> NAME(S) OF SiGNER(S) <br />~personally known to me - OR - [] proved to mB on the basis of satisfactory evidence <br /> AND SWORN '('0 BEFORE ~E to be the person(~) whose name(s) is/a~.e <br /> <br />THIS).7..DAY OF .................... <br /> <br />subscribed to the within instrument and ac- <br />knowledged to me that he/el~e~h~y executed <br />the same in his/h~r authorized <br />capacity(ie~.), and that by hisf~a:l:~mir <br /> <br /> OPTIONAL ~E~TiON <br />CAPACITY CLAIMED BY SIGNER <br /> <br />invaluable to persons relying on t~e document. <br />[] INDIVIDUAL <br />[~CORPORATE OFFICEI~(S} <br /> <br /> [] PARTNER(S) [] LIMITED <br /> [] GENERAL <br /> [] ATrORNEY-IN-FACT <br /> [] TRUSTEE(S) <br /> [] GUARDIAN/CONSERVATOR <br /> [] OTHER: <br /> <br /> signature(~) on the instrument the person(s), <br /> '~-"'-" ~ L~jL~;r~J ~ or the entity upon behalf of which the <br /> person(e) a~ed, executed the instrument. <br /> ~~ :~ ~ N~ESIGNERoF PERS~(s)IS REPRESENTING:oR ENTIW(IES) <br /> Not~,,, --~1 WITNESS my hand and official seal. <br /> <br />~A O~IONAL <br />[~ THIS CERTIFICATE MUST BE A~CHE9 TO TITLE OR ~PE OF OOCL -' <br />~' THE DOCUMENT DESCRIBED AT RIGHT: ..... ER Of PAGES <br /> <br /> <br />