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i . STATE OF ) .
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COUt~iTY OF )
BEFOItE ME, the undersigned authority, personally appeared
, to me
we nown to e t e in v ua s cscri in and w o executed
~ the foregoinq instrument, and sh,e acknowledged before me that
; she executed the same freely
ancT~voluntarily for the purposes
! t~iere~n Qxpressed. ~
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~ WITNESS m~hand and off icia s al, at the State and County
a
~ aforesaid, this day of ~ ~,J , 197 ~
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otary Pu ic " _
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My Commission Expires,. ~ . =
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