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<br />I have all necessary power and authorization to execute this Election and Release on behalf of <br />the Governmental Entity. <br /> <br /> Signature: _____________________________ <br /> <br /> Name: _____________________________ <br /> <br /> Title: _____________________________ <br /> <br /> Date: _____________________________ <br /> <br /> <br />88 <br />revised July 30, 2021 <br /> <br />