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FORM OF ACKNOtiYLEDGMENT FOR INDIVIDUALS
. State of 1~[IBS~URI ) '
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County of J~C1C8~ ) ~
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Personally appeared before me, a Notary Public in and for the Count}• and
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i Alice Vande linde ~
~ State afore said,
(Ideatijr individual party to thc Iease)
~ who is laiown to me to be the same person who executed the foregoin~ lease,
and who acknowledged that she signed, sealed and delivered the :
(deXsAe)
same as her free and voluntary act for the uses and purposes :
(AisXher)
therein setforth.
_ Witness my hand and notarial seal, in the County and State aforesaid, t
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this - ~1i~ day of ~tobe]~ , 19 '
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My commis sion expire s~ly 16, 1972
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~ P0~ Form 14~~~