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3 <br /> <br />IN WITNESS WHEREOF, the parties hereto have executed and delivered by their duly authorized <br />representatives this Restrictive Covenant as of the day and year written above. <br /> <br />GRANTOR: <br /> <br />COMPASS HEALTH BROADWAY QALICB, <br />a Washington non-profit corporation <br /> <br /> <br />By: <br /> <br />Printed Name:_______________________ <br /> <br />Title: ______________________________ <br /> <br /> <br /> <br />STATE OF WASHINGTON } ss. <br />COUNTY OF SNOHOMISH <br /> <br />This record was acknowledged before me on ________________, 20___ by <br />_______________________ as the _______________________ of COMPASS HEALTH <br />BROADWAY QALICB, a Washington non-profit corporation. <br /> <br />[Stamp Below] <br /> Signature <br /> NOTARY PUBLIC in and for the State of Washington <br /> My Commission <br />Expires <br />