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� /�,�i`cti Tlc, " �/'�'/��/� <br /> . ame o an <br /> � ' ��( <br /> By: � �c.t—��z <br /> yC]H <br /> �i�y Address: <br /> ,o�z <br /> a y� Title:_ �� �� <br /> yxH Telephane no. : ��% �J 7� <br /> o �� Contact Persan: •/�/C k [� iEti-N�'�/' i1 <br /> :p H <br /> E�-] O E1 <br /> o H d l . For an ack�io�.+ledgement in an individual capecity: <br /> r <br /> �r� State of Washington ) <br /> z �� ss. <br /> r '�z Count� of ) <br /> NH <br /> � �' I cer•tify that I Y.now or have satisfactory evidence that ____ <br /> H <br /> � e7 ti <br /> � �t, _ signe�' this instrument and acknowledged ii to be <br /> ta <br /> y o� (his/her) fi-ec and voluntary act for the purposes mer,r,ioned in the <br /> i nstrunter.t. <br /> Uated _._-----. <br /> �� � (Seal or Stamp) Signature o� <br /> �„i Notary Publtc . <br /> Title _ _. <br /> �� ,.a' <br /> � tdy appointment expires _ <br /> 1� �'j <br /> � � 2. For a� acknowledgement in a re resentati��e capacity: <br /> � '. 1 State of �:ashington 1 <br /> ` ss. <br /> C���nty ot _� �� .i.; , �,.�� , � <br /> .. I certify that I know or have satisfactory evidence <br /> that ,�� � L/�i1, � fL�/� �signe6 this instrument, <br /> �p,� (t7a•,:! of Fer.Fonl <br /> on oath stated he,;/shc ; was authorized to execute the Instrument and <br /> acknowledged it as the _ \ � � �–"�– <br /> \1 1 c� �.-c`�i:l.r n1 -� <br /> � (7'ype'.oC.Authority,:G.G. , OFfice�rustee, � etc. ) <br /> of �–:s�,t�/_E " -� � —.:_.- — <br /> (tlnmc of ParCy on Dchalf of Whom L�eCrum_^nC �.r.s: I;xecuCc�l) <br /> 2 <br /> � 5/Af3 <br /> , <br /> e <br />