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,,,���,.: <br /> Print namc: <br /> O��'NI?R NO'1'ARl' 13LOCK <br /> S'I':� I li OI \\':�5111\'(i'I O\ ) <br /> ) ss. <br /> COl'N�II' OI� tiV'OIIO\�IISIi ) <br /> On this day prisun.ill� .ippcarrd bcfurc mr LISI? LAIISI�'A lo mc knu��n to hc thc <br /> indi�idual. or indi�iduals drscribcd in ancl ��ho czccutcd thc ���ithin and fi�regoinc <br /> insh umrnt. and acl:no��9�dgrd that shc signcd thc samc as hcr frcc ancl ��oluntary act and <br /> dcrd, fur lhc uscs and pw�poscs lhrrcin mcntioned. <br /> � <br /> (;i�rn umlcr m� h�in�l ,md oflicial scal this _ 0 — day of�'-01�. <br /> � � <br />- � � PATTF — <br /> � ;�r,��ss'o�Exa,�s'p� N I:� tl' PUI3LIC in and I'or thc Statc ol� <br /> , (� NOTARY s <br /> A1'.�shington, residing at '�fy__��iJa���^'-s�^ <br /> N\ PUBL�C �� `� �^�d <br /> Q 11-14-2011 G,`�� \d�� Commissionexpires �\- 1�-1- ,�v� l <br /> � <br /> ��F WASN� Print nain�: �SS� �1-�� i 5C� <br /> --� �—�-- <br /> ---- ; <br />