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Aeknowled~ment mwt be made b~ parehaxr in Conn., Lia.. Ia., b[t•. Mi~s•. N• D., wd b7 ~t11er ia Pia. ?ad I'i. Me~
ACKNOR'LEDGI~ENT BY ItiDIVIDiJAL
srnTE o~ ........................_.................................._.........................................couh~ oF.......................................................................... s.s.:
I . ................a Notary PuUlic. in and for thF State
of .................................................Count7 ot..........................................,.. .......do derebY teriifY thst on thie..................................,.dsy ot ~
. . . . . . . . . . . . . ...........19............. before me PerwnaltY •voenred
Lo me knovcn to be the i3rntica! individual deuribed in and who erecuted the ~rithin Inetrument to ~vhorn I first maJe known the conLents thereof end acknowledged
that he eiQtied, sealsd and delivered the eatae as hie free and voluntarp aei and deed for the usee and rurpoaes therein mentioried.
IN WIT2IE;SS VYHEREOF. I have hereunto ret mr hand and a1£~:ed mr oPHcial rea! the da7 and ~enr ot this certi8cate sbove vnritten.
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h~otar'S' Public ln and for ......................................._._............Count~
ACI£NOWLIDGMENT BY CORPOIiA'TION
; STATE OP IL,I,~.110~~..............................................,......................COUNTY OF~.. ...........ff~.xiz~~t~........................._................. s.s.:
On thls ..............~w!~~...... daP of.......................~x......................................................................, 18.....~J., betore me. r Notar7 Yablic in and for the Sta:e •
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` ot.....1.U..1~+Q1.8......, CountY ot .............{~.I.ili3e.r1 U......................_Pereonall7 sDDexted..... . .
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to me DeiaOS?alty knowu to Dez the identical per~oa wbo ~i¢ned tbe attnehcKl inatn:nrent ami known to me to be the....~?~.CUt,~;.,'N!A,...Q3.~.~'1,. ~e$,1C~6tlt_,
of the to~p~y~ytim,whicL eztended tme s4nae, xho-fiein~ b7 me dul~ swiorn, did sap tLnt de ie.....$]C~lClitf.YB• .Q~L`H~ ~l~f.(~O~1L.~~•
of ,.::`.~9~.~FT'.~,...Diu....Hate,~c...1YsaLmatnt...Cc~r~rati,a~ che within named setler (purchaserl. t6at he
}ine~e y11e~~eat,of ~daid corporatien, that the seal affised to ssid instrument f~ the eeal ot eaid corporation,and that uid instruroent was eiRned, xaled and delivercKi
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: ijt-br'half ot aW ~brporatina-bq authority ot ita Baard of Dlrectora and said..,...~.~.x..~Ctl. ~L'~.~ia~.~.......- .
' aCkl~owteQ~ he execufiafi of aafd inetrurnent to be his free, true and Iaw4u1 wct and and the t~er. tn:e and lawtul act and deed of ex;d corpora!ion bq him
i;a hie dh'd~cay$~kt~ s{~fl'by'it,voluntarilq exetuted for the ueea, putposee and eonsider ' therein menti?p~l~
, ~~~i:n~er mythand;ar~a pfficfal eeal the day and year ia this certificate flrst a ritte ' /
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~ ~ IVoten Public in snd for ........................~~.~~b~$~..................._.........CountY
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AFFIDA'VIT BY I1riDIVIDtiAL ~OR YARTNERSHIP $ELLER
aTATE OF ......................................................................................................................COUNTY OF'....................... S.S.:
bein~ dutY avcorn. dev~aer eod aa7s t_6a! he is the vend~r and...............
ia the venciee named in a contract, a true wDq ot whieh 3s hereto att~ched: t4at the pcoyerts therein transfened ~nsiata of
~ _ that tbe fut? and true intereM ot
oeid vendor therein is that ot ovvnee; a7d there b unpaid the sue~ af g......_
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` (5ignatvre ot Se:ler ar ' iclus!}
Subrcribed in me Dreeer.ce and aworn :o brclore me tLis . ..............................daY of......................... . 19..
w, y ...._.....__..................Covntv
Notar7 Publ:~ in and tor. .
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~ • AFFIDAVIT BY CORPQKATE SELLER ~\\`~~~~\\\L40~-
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{a, S1'ATE OF ......................................................................................................................COUNTY oF................,.............. ,C, o,~ cy_ Gw7'~~ S.S::
~ bein~ dulY ~rwora. deDws~ and caYS Lhat he fa ~'~,a ~3~j f'y("~~ ~ ......of
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~ a carPOration: t6at wid corporation and ~v'~~~ ,a `
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~ . ~ trut ~I, r~ ~ ~ hcd: that
che Dropeztr referred to therein eon~ista ot ~e Rh~ ~endor aad ven ee reepect ~ ly nam m a<ontract r`,-~ c ~ ,rest of
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' sai+1 vendor ie that of o~vner: and t6r» te unpaid the sum of = ~,Q,~, •
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` :iubRCribed in my Dresence ansl ~worn to befon me thi~._ .da7 of
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\ ...County
R NotarY Pub{ic fn and Cor ~,t
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