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<br />Dated this _ day of <br /> <br />,200_ PRESBYTERIAN HOMES OF ARDEN HillS, <br />INC. <br /> <br />By: <br /> <br />Name: <br />Its: <br /> <br />STATE OF MINNESOTA ) <br />) <br />COUNTY OF ) <br /> <br />On this dav of , 200 , before me, a notary public within and <br />. - <br />for said county, personally appeared Beverly Aplikowski, to me known to be the Mayor of <br />the City of Arden Hills, and she executed the foregoing instrument and acknowledged that <br />she executed the same by authority of and on behalf of City of Arden Hills. <br /> <br />Notary Public <br /> <br />STATE OF MINNESOTA ) <br />) <br />COUNTY OF ) <br /> <br />On this _ day of , 200_, before me, a notary public within and <br />for said county, personally appeared , to me known to be the <br />of Presbyterian Homes of Arden Hills, Inc., a Minnesota non-profit <br />corporation, and s/he executed the foregoing instrument and acknowledged that s/he <br />executed the same by authority of and on behalf of the corporation. <br /> <br />Notary Public <br /> <br />F:\users\Janice\..lerry\'!\'rden l-lills\Presb Homes.-2 SUP.doc <br /> <br />4 <br /> <br />. <br /> <br />. <br /> <br />. <br />