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; IN WTTNESS WHEREOF, National Life Iniuraace Company has caused these prescnts to be sig~cd by
j Assistant Controller . anofficeroftheCompany,dulyauthoriud,anditscorpo- ~
4 rate seal to bc hereto affixed, at l~tontpelier, Vcnnont, oy:_ ~zh September 75
t~3, day ut A. D. 19
Signed, stalcd and delivered in pres~nce of us: NAq' A4'LIFE II~'S Ai~iGE C PANY (I,S)
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` - - - L~ ` -{''~'Y`--- .
~[~Ia ~ ernandez ~ . - ' ~ ~ '
~Z~ , . orge
• . , ~ ~ istant Controller f
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Connie Aseltine ~ ~ , " " ~ ~
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STATE OF VERMONT - -
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COUNI'Y QF WASHINGTON
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! I HEREBY CERTIF'Y, that on this day personally appearcd before me, an offieer duly authoriud in the
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~ State and County aforesaid to administer oaths and take acknowledgments,
~ George H. Brown t~o ine known to be the individual and oRicer
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E who execut~d the foregoing instrument as
; Assistant Controller -
~ of the corporation nained therein_and duly acknowledged before me that he executed the same as such officer
~ in the name and on behalf of said corporation.
~ IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal at Montpelier in aaid
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County and State, this Sth day of September A. D. l9 75 ;
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ct~f0 s.ti`- ~;:,fMSY FIA. ~~l ~
ST.tU^;E.~', .i~Ra~ ~
F~~-.,: ~,;T COURZ 31'7'726 -
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ommission expires on the ~Oth d y of Pebni~sy,
A.19 79 Jean M. Mahoney
"Thu in~trnment Ma~ prepued ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ behal( o( NATIONAL LIFE INSURANCE
COMPAIYY, National lik nt i Ve t."
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~1 ~ goox 244 ~ 452
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