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1. Thie page is to be completed by a notary public for both the Principal and the Surety. 2. Please attach the Power of Attorney and Certified Copy of the Corporate Rsealution for the Surety lieted herein. STATE OF ACHNOWI,EDGMENT OF PRINCIPAL �_ COUNTY OF (SOLE PROPRIETORSHIP) The foregoing inetrument was acknowledgedbefore me this day of , � � (Name of pereon ac�awledged} NOTARYSEAL Notary Public t T * t t * } t • • ■ # t i ■ � r t t + + + + t ■ + t + �I�,�#�TN�RSHI�lL�L�dITEI� L�!_i.IT� ��A�AN"Sf� � 'I'�e f� ib� initsum�� a�e koa�l�d be $ t�hie � d�� o� � _� ��_��_ _ —t-•-�.—. u�gp�r4d �d �1+�i� P �1� �.._ , � _it�–��! � - • _.�..� — � a � ��P- �� ;du��p�d �� k � ,��`' � ��r� r� � �� �� �;��- ��ar� �� . . f �+F �..��i�n �pr,� r.,.,��, �as i • � � • � i r r = t a t t ■ f ■ � ■ ■ r • � (CORPORATION) The foregoing instrumentwas acknowledgedbefore me this day of , , b�' , President of (Name of corporatepreeident) ,a (Name of corporation acknowledging) corporation, on behalf of the corporation. (state of incorporation) NOTARY SEAL Notary Public • + . + + • # + * � r a . + F r ■ y r r r t r y r � r r ACKNOWLEDGMENTOF SURETY �TATL� {]F ��TK C�1PC�TA _ — - L'URJ�i�'Y U�` Minneh,r�ha �' The foregoinginstrumentwas acknowledgedbefore me this 14th day of �� 2004 �bY Paul T. Bruflat, Senior Vice President a (Name and title of officer or agent) Of WESTERN SURETY COMPANY (Name ofcorporationacknowledging) g Sniith 1)aknta corporation,onbehalfof the corporation. (state of inwrporation) #~~y4��T.�ii�444irtiw # S �rry�� r� r �, 14f�P LL + Notary Public ��N�Ii0.R1r �LJBL�� r ��y1TH CuM]C�T,� � +4tititititititi}titi,.,.4+.+.+,�4ti+.ti4 � My Commission F.Ypires November 30,2006 � MN/DOC CE BOND 711999