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INSTRUCTIONS: <br /> 1. This side is to be completed by a notary public for both the Principal and the Surety. <br /> 2. Please attach the Power of Attorney and Certified Copy of the Corporate Resolution for the Surety listed her <br /> ACKNOWLEDQMENT OF iNOMDUAL <br /> STATE OF ) <br /> ss. ACKNOWLEDOMENT OF PRINCIPAL <br /> COUNTY OF <br /> ... .. ..O% <br /> On this day of 199, before ms personally appeared <br /> known to me as the Individual whose name Is subscribed on this bor <br /> form, who acknowledged that this bond was executed for the purposes therein contained. <br /> (Notary Seal] Notary Public <br /> r ■ r � r • r r1 ■ i ■ i • f • • • ■ i ■ • i i ■ • • i i • • ■ ■ • t • • ■ • • i i i i ! • t i i t i i i • i i i i i 4 r <br /> ACKNOWLEDGMENT OF PARTNERSHIP <br /> STATE OF <br /> � . ACKNOWLEDOMENT OF PRINCIPAL <br /> COUNTY OF <br /> On this day of 199 before me personally appeared <br /> known to me to be a partner In the partnership whose name is <br /> subscribed on this bond form, who acknowledged to me that this bond was executed on behalf of the partnership for the purposes <br /> therein contained. <br /> f <br /> Notary Public <br /> [Notary Seal) <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> ACKNOWLEDOMENT OF CORPORATION <br /> STATE OF 1,,AA0 <br /> y ss. ACKNOWLEDGMENT OF PRINCIPAL <br /> COUNTY OP <br /> F <br /> On this 2-0 day of,.::�„ , v t . '#fie before me personally appeared <br /> p who acknowledged that he or she is the <br /> of a corporation whose name is subscribed on this bond form, and that, as a corporate officer, he <br /> or she is authorized therein con ad. <br /> A <br /> ALYSSA PILGER wo <br /> No TRY push..mimEsoTA Notary PAW" <br /> (Notary Seal] r� <br /> My Commission Expires Jan.31,2M <br /> ACKNOWLEDGMENT OF SURETY <br /> STATE OF MINNESOTA <br /> as. ACKNOWLEDQMENT OF SURETY <br /> COUNTY OF STEARNS <br /> On this 15TH day of JUNE )WWlbefore me personally appeared <br /> SHAWN W. FLAVI who a cknoA sa Mal�at ho or she Is the attorney In fact who Is <br /> authorized to 'sign n behalf of 11TATIONW DE MUTUAL E C ANA' (surety company), <br /> DH10 <br /> corporation, on behalf of the corporation. , <br /> (state or place of corporation) <br /> 4 <br /> r <br /> -�- - Notary Public <br /> [Notary <br /> NUMMMOM <br /> ►tMr <br />