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<br />IN WITNESS WHEREOF, the parties have hereunto set their hands the day and year first above <br />written. <br /> <br />The Evangelical Lutheran Good Samaritan Society: <br /> <br />By: <br />Its: <br /> <br />By: <br />Its: <br /> <br />ST ATE OF MINNESOTA <br /> <br />) <br />)ss. <br /> <br />COUNTY OF <br /> <br />The foregoing instrument was acknowledged before me this _ day of <br />2003, by and , the <br />and , respectively, of The Evangelical Lutheran <br />Good Samaritan Society, on behalf of said company. <br /> <br />NOTARY PUBLIC <br /> <br />14 <br />