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THIS ACKNOWLRDGMSNT MUST BE ~RSCUTSD IN THE P"OLLOWING STATS9
A1~b~ae~ Florida NortL Carolina Twn~asN
D~lawate Ceottis Pennsylvania Nir~i~ia
Dt~triet ot Colwabis Yar~?tand Sont6 Carolin~
INDIVIDUAL OR PARTN~RSHIP ACKNOWLEDGM$NT
3tats of.......~~t9A`,~S~L
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Conrty o~~i~..~..~_..._
_ I;. tbe undezsi~ned. a notary publie wit6in the conuty doresaid do hereby certity tbat betore me Dessonally
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~ m~~if~m to.b~ the.person or ns detcribed in and w1a si~a~ed. seal and executed tbe fo
j~ ~ and s~r~y aad intly ada~owkd~ tbat he (they) ezecnted and del~vered tLe unta s~s 6b (their~ -
_ ;~lw~~t~}ry,~et ~detsa o~tbe eonsiderat~on and pwposea thesein mentioned and ~et forth aael tor ew othez
~Id~ • eY) a~cecuted ths fore~oin~ in?trumen~ tn `ood laitb, and inrther m~d~ oaW in
: C' w. the amount wt ont in said irstrument to be paid as balanoa a~ pnrchaas anonep b true at+d 6ona
. ~ ` • ~ (~na ~r~i Land ~u?d sesl thls.. ~.day ot......~~..' _ ......19....~",~.
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.-,.;~q ; ~1~~'?~', My Comm' lt~1~~.~Ti11i1~t! -
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ACKNOWLEDGMENT TO BE USED IF PURCHA3EIi I3 A CORPO$~TION ~
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8ase of
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o~ r to me known, wbo. bein~ by m~ dnl~ nrorn. dld depose aad asy that he ewidb iA -p.~ •?N„~• ~
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thut Le b tbe ..................................._.............._..---....._.__.and/or attorne~r ot the_.._.........._.......__.~..~.~.. •..0 -
~ ~ cr..tla.ae oe otl~r eeNe .epo.r)
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~ m the corpontion deacribed ia, and whicb euecnted tha wfthin instrument, Lhat be seknowled~sd and oe~
3 e~cecation and delirery t6;sseot, to be bia ttne. iree and Lwfnl ut and the true, iree and lawtd aet oi asid ~rporation.- -
: H roluntaril~ ~ceeut~d. thaE ba knaws tlre ~eal oi ssid eorporation, that seal . al~ed to ssid instr~t~ent is soeh
~ oorponte ~eal. tlut.ft wss aAb~ed b~ o~er o! the boud oi dirntora ot aaid oorporati that iie ai~ned bi~ nan?e
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tbento b Wce ordrr snd for the usa aqd p~uposes and cor?sidention t~rai~~•~~ and t~?t,t6a a~d instsa.
~ 4 ment 4 set aed dad oi's~id Zor~oration. "
~ O Gi~ren nndsr my hand and seai thia ....................day of......._....__.........••-............. 1~ w__....
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~ ~xaars Puene ~n c.:a tor .da Cowwl
N INot~ritl frI?
~y Commission Expires..._...:_:_..___........_...._...._.----•
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THIS PROBATE MUST BE ERECUTED IN THE FOLLOWING 3TATS3
ALABAIiA, PI,08IDA~ GEOBGU, NOBTH CABOLINA, SOUTH CABOLINA, TENNE$SEE '
Stat~ of.----
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