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6 <br /> OWNER: Address for Notice: <br /> Domestic Violence Services of Snohomish County, a Domestic Violence Services of <br /> Washington non-profit corporation Snohomish County <br /> PO Box 7 <br /> Everett,WA 998201 <br /> By: Attn: Vicci L. Hilty <br /> Vicci L. Hilty Title: Executive Director <br /> AGENCY ACKNOWLEDGMENT <br /> STATE OF WASHINGTON <br /> ss. <br /> COUNTY OF SNOHOMISH <br /> I certify that I know or have satisfactory evidence that Vicci L. Hilty is the person who <br /> appeared before me, and said person acknowledged that said person signed this instrument, on <br /> oath stated that said person was authorized to execute the instrument and acknowledged it as <br /> the Executive Director of Domestic Violence Services of Snohomish County, a Washington <br /> non-profit corporation, that executed the within and foregoing instrument, to be the free and <br /> voluntary act of such entities for the uses and purposes mentioned in the instrument. <br /> Dated this day of , 20 . <br /> (Signature of Notary) <br /> (Legibly Print or Stamp Name of Notary) <br /> Notary public in and for the state of Washington, <br /> residing at <br /> My appointment expires <br /> [Signatures continue on following page.] <br /> Page 11 of 12 <br /> 83 <br />