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On fihis 1~ daY of .,S'" 1974, before me, ~
1~~~ ~ t e undersign~d ogfi.cer, ~
persona y appear JEROMF SLATER, known to me (or satisfactorily
proven) to be servinq in or with, or whose duties require his
presence with the Armed Forces of the United States, and to be
the person whose name is ~ubscr~bed to the within instrument, and
acknowledqed that he executed the ~ame for the purposes therein ;
contained, and the undersigned does further certify that he is at
the date of ~his certificate a commissioned off icer of the_rank
stated below and is in the active service of the Armed Forces of
the United States.
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Si na ure o C sion O icer
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~IBY J. C06IIdT'D~iC~ Lt Cqlonel, USAF `
Ran o Conunis sion Of f icer , an
Command or branch of service to L
which Off icer is attached ~
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