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OPTIONAI FORM 17S ,
(FORMER~.Y FS-i~)
MARCM 1975
OEPT. OF STATE
S017f-101 .
, Certificate of Acknowledgment of Execution of an Instrument
GREAT BRITAIN AND NORTHERN IRELAND.
LONDON. ENGLAN~. _ S S:
EM9ASSY OF THE UNITED STATES OF AMERIC/1.
/, John P. Caulfield _p~~~
- ------- -- ----
ojthe United States ojAmerica at~n~ $p~,~p~__
duly commissioned a»d qua[ified, do hereby certijy that on ~his seventh _____
~y o j_ February 1978 _, bejore me personally appeared -----------
(DATEJ
. ~,UG~L G. SAAD
to me personally known, and known to me to be the individual-described in, whose
~wmc_ ls _subscribed to, and who executed the annexed instrument, and being
injorneed by me of the contents of safd ins~rument he duly acknowledged to me
that he executed the same jreely and voluntarily jor the uses and purposes therein
entioned. `51~2`~
~ _, ~ JAN -6 PK 2 40
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"'ri~°== /ii witness whe-eof ! tiave her~unto set my hand and
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of~cfol seal e day and ear /ast above written.
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BODKJ4V PAGE 5~
IiOTE. r pr tlcabie all ~nsturw to a document ~AouW be includad in one oatificate.
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