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10-26-15-R
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10-26-15-R
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10/27/2015 10:36:32 AM
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10/23/2015 1:27:40 PM
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Ex. A 3 <br /> <br />STATE OF LOUISIANA <br /> <br />PARISH OF OUACHITA <br /> <br />The foregoing instrument was acknowledged before me this _____ day of 2015, by <br />______________________, the ___________________________ of Qwest Broadband Services, <br />Inc., a Delaware Corporation, on behalf of the corporation. <br /> <br /> <br /> ___________________________________ <br />NOTARY PUBLIC <br /> <br />Print Name: ________________________ <br />Bar Roll #/Notary ID #: ________________ <br />My Commission Expires: ______________ <br /> <br />CITY OF ARDEN HILLS <br /> <br /> <br /> <br />By ____________________________________ <br />Its: ___________________________________ <br /> <br />Department Head Responsible <br />For Monitoring Contract <br /> <br /> <br />__________________________ <br /> <br />Approved as to form: <br /> <br /> <br />__________________________ <br />City Attorney <br /> <br /> NORTH SUBURBAN COMMUNICATIONS <br />COMMISSION <br /> <br /> <br />By: __________________________________ <br />Its: __________________________________ <br />
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