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Signed and acknowledged <br />in the presence of: <br />STATE OF <br />COUNTY <br />Personally appeared before me, a Notary Public in and for said State, <br />and , who acknowledged the <br />signing of the foregoing instrument to be the voluntary act and deed of each of them for <br />the uses and purposes herein set forth. <br />IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my <br />notarial seal this day of 20 <br />Commission expiration date: <br />Notary Public <br />(Note: Acknowledgement may vary by State) <br />2 <br />