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<br />.- <br /> <br />INSTRUCTIONS: <br /> <br />1. "fhis side is to be completed by . 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 he. 11. <br /> <br />ACKNOWLEDGMENT OF INDIVIDUAL <br /> <br />STATE OF <br />COUNTY OF <br /> <br />) <br />) ss. <br />) <br /> <br />ACKNOWLEDGMENT OF PRINCIPAL <br /> <br />On this day of-' . .199_. betore me personally appeared <br />known to me iti the Individual whose name II subscribed on this bOI <br />torm, who acknowledged that this bond was executed tor the purposes therein contained. <br /> <br />Notary Public <br /> <br />[Notary Seal) <br />* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> <br />ACKNOWLEDGMENT OF PARTNERSHIP <br /> <br />STATE OF <br /> <br />COUNTY OF <br /> <br />) <br />} ss. <br />) <br /> <br />ACKNOWLEDGMENT OF PRINCIPAL <br /> <br />On this day of . 199----, betore 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 /> <br />... <br /> <br />Notary Public <br /> <br />[Notary Seal) <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> <br />ACKNOWLEDGMENT OF CORPORATION <br /> <br />or she is authoriz <br /> <br />STAT!OF.~J ) <br />(). ) 55. <br />COUNTY OF ..$J _ ....oV~~ ) <br /> <br />On this ~ () day of '- J,^-V"\...t ,1SO~ before me personally appeared <br />'./V\.r'?\. - A- C;""",;.-rv- 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 />thereinCO~d/'~ 1\ <br />ALYSSA PILGER L4.- <br />NOTARYPUBllC.MINNESOTA "I Notary ~") <br />.' My Commission Expires Jan. 31. 2005 ~n <br /> <br />ACKNOWLEDGMENT OF PRINCIPAL <br /> <br />'- ' <br /> <br />[Notary Seal) <br />* . . . . . . . . <br /> <br /> <br />. . . . . . . . . . . . . . . . . . * . . . * . . . . ~ . . . . . . . <br /> <br />ACKNOWLEDGMENT OF SURETY <br /> <br />STATE OF MTNNESOTA <br />COUNTY OF STEARNS <br /> <br />) <br />) 55. <br />) <br /> <br />ACKNOWLEDGMENT OF SURETY <br /> <br />On this <br /> <br />15TH day of JUNE .Xit9 200~before me personally appeared <br />SHAWN l~ . FLAVIN who acknowledged that he or she Is the attorney In fact who Is <br />authorized to 'J&n on behalf of NATIONWIDE MUTUAL INSURANCE COMPANY (surety company). <br />o 0 . corporation, on behalf ot the corporation. , <br />(stOI. ot.PIO~ 0/ cotpOralion) (};yuta.Jtl, ~ <br /> <br />Notary Public <br /> <br /> <br />~~:P.;;~.~-~:,-., . <br /> <br />(Notary "" <br /> <br />Nma~ <br />IIJWI'I~ I,. <br />Uyc,.....e;r.Ja31.2Oi!i , <br />~:-':9/;;~,~~.:?2':"';-~-- <br />