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Attachment B <br />STATE OF LOUISIANA <br />PARISH OF OUACHITA <br />The foregoing instrument was acknowledged before me this day of 2015, by <br />, the of Qwest Broadband Services, <br />Inc., a Delaware Corporation, on behalf of the corporation. <br />Department Head Responsible <br />For Monitoring Contract <br />Approved as to form: <br />City Attorney <br />NOTARY PUBLIC <br />Print Name: <br />Bar Roll #/Notary ID #: _ <br />My Commission Expires: <br />CITY OF ROSEVILLE <br />By <br />Its: <br />NORTH SUBURBAN COMMUNICATIONS <br />COMMISSION <br />By: <br />Its: <br />Ex. A 3 <br />