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This page is to be completed by a notary public for both the Principal and the Surety. <br />Please attach the Power of Attorney and Certified Copy of the Corporate Resolution for the Surety listed herein. <br />STATE OF ) <br />COi1NTY OF ) ss. <br />(SOLE PROPRIETORSHIl') <br />The foregoing instrument was <br />by <br />acknowledged before me this <br />(Name of person acknowledged) <br />NOTARY SEAL <br />ACKNOWLEDGMENT OF PRINCIPAL <br />day of <br />, <br />Notary Public <br />************************s******************s**************** <br />(PARTNERSHIP/LIlVIITED LIABILITY COMPANY) <br />The foregoing instrument was acknowledged before me this day of <br />by , a partner on behalf of <br />(Name of acknowledging partner) <br />(Name of parinership/limited liability company) <br />NOTARY SEAL <br />partnership. <br />Notary Public <br />****************************:********************************* <br />(CORPORATION) <br />The foregoing instrument v�as�clrn 1 ged before me this %a� day of , 2��' , <br />by � P�t,.G P �_ fLt,fil�p v , President of <br />_q._ (Name of corporate president) A,�. <br />i�.0 �A,(�l/il'1� � wi.i..Q.�( . %r� . , a /V U Yl �J4 ��l corporation, on <br />(Name of corporation acknowledgmg) (state f inco ration) <br />behalf of the corporation. ���� ��` UC.�{. <br />,- �� rvicuo�s �. raEwroN �� � <br />NOTARY SE � :" :+ �:���:;�� .;c�� Notary Public <br />�, ;�� tdy Cort:missw,i Er.pira Jan 31 .��5 <br />* * * * * * * * * * * * * * * * * * a� * * s * * s * * * * t s s * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br />ACKNOWLEDGMENT OF SURETY <br />STATE OF M I NN E S OTA ) <br />COUNTY OF HENNEPIN 1 ss. <br />"rhe foregoing instrument was acknowledged before me this 11th day of April 2002 <br />, <br />by Nicholas L. Newton, attorney in fact <br />, <br />(Name and t i t 1 e o f of f i or agent) <br />of North American Specialty Insurance Company <br />( Name o f corporation acknowledging) <br />a New Hampshire corporation, <br />(state of incorporation) <br />on behalf of the corporation. <br />� �v�.� <br />NOTARY` CHERYL �. BREYEN <br />�tt. <br />;�_ : NOTARY PUBLIC-MINNESOTA <br />"� ti�Y COMMISSION EXPIRES 1�11-2005 <br />� • ■2 <br />Public <br />NIN/DOC CE BOND 7/19 <br />