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]' 01�i,i G <br />° CI1'1 O1' 1:\'1:R7.7..1' <br />Snohomi.sh Cowity, \4'asl�in�;lon <br />UNSAI�']� ]S111Lll1NCiS <br />57'A7.7i: O}�' 1�'1,51111�`C;'! O:\ ) <br />SS <br />COUIVTI OL' SN01lOMISII ) <br />R1�I� I:R7sNCI: NO� 7D_6-5 _._ <br />A.7� P'IDAVI7' OP' SERVICli <br />0 <br />Thc widcr;;igned, bcuig first duly s�vorn un oath, deposes and says: <br />1, 7'hat in and during ali time:: hcrein mc:ntioned, affi�nl was and no�v <br />is over il�c age of t���c»;y-onc ycars, a ciCizc�� of il�c IInited S;ales, a re�ident <br />of thc State of 1Vashing(on and compefent lo Lc a�vitnass hcrcin� <br />Z. That affianf scrvcd r; full, iruc� corrcct duplicate original copy <br />of tha follo���ing dcscriUcd clocument: (Cross out inapp]ic�tLlc noticcs) <br />(<<) No��rci: or vnsnr�� }3vi1,»rn1c(s} <br />�ra; ox��Fx� � <br />(��xxxx�r�rnre�x;�sx��^a:���na�c��k�x:e��at�k.:d� <br />O�`�ncr 1Qamc <br />n ��ry of whicli is altacl�od hcrclo 1nd l�y lhis refcrcncc <br />m�tdc a ptirt ]�crcin as ihough sct forlh in fu11 hcrcin <br />tq�on eacl� uf the follo��-ing ]ast l:noc✓n o�vner(s) of <br />record of ilic Uui)di��g(s), or strucitu�cl: ), or porlion(s) <br />thereof describcd in said docu�nent Lp Lhc m�u�ner set <br />forth ]�crcinaflcr: <br />(�j Y1;P.SONl�L SLRVICL: <br />]3y clelivcrine ��_nd leavin�; said copy� �vit1� said o�vncr(s) <br />at ihc placc and timc set forih hcrcinbclow: <br />Address Scrvod <br />-- -- - -- �--- --- -- — � <br />DaCc Scrved <br />