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, ; . . � � <br /> (CORPORATE OWNER, PARTNERSHIP OWNER, LIMITED LIABILITY COMPANY <br /> OWNER/OTHER LEGAL ENTITY OWNER--attach more pages if needed) <br /> D8t@CJ: /D' Sta�e ot Waahington ) <br /> )ss <br /> County o� �7NC l-k�M�S 1-� ) <br /> I certiy thal t know or have satlsfeqory evitlence Ihat �C.�t� A <br /> �c1���✓'�.hi5 �,�(T✓1c.. J rc��`- :.N is the person who appeared before me, <br /> (Full Legal Name of Entity) anC said person acknowleAgetl thaa�y+she signed this Insirumenl,on oalh stated <br /> Ina�t ihe was authorxeA to ezeate the instrument and eticnowledge0 N as <br /> S 9 Ufe � Ihe 12.�.S��"�vT (lype of <br /> authorily,e.g.,pariner,Iruslee,title of olficer,personal repmsentative,puardian. <br />� C�_ �- anomey in fact lor a pnndpel,etc.)ot k=���`-�-��� (1[�r�L•-,<- <br /> V V/��Il1SJin � <br /> Printed Name � ��=�"�Y ���° , � n�C. (name ol ownerlentiry o <br /> behall ol whom instrumenl was eKeated),to be the hee anA volunlary ad ol suU <br /> /�fPS�c�Cd r parly lor t�e uses anG purposes mentionetl in the inslrument. <br /> Title <br /> Date: lL��'�:t�bx t;1 <br /> � � <br /> l �/ClCt` 'ii � <br /> / � NO RY P BLIC in antl br ihe late� Washington <br /> i <br /> Residing at !-��. �'�i l.i 1 i.�'�r\ <br /> My wmmission expires� I L�,f"�-1/�T�') <br /> PRINTNAME:�`�vlt��.�CC /` \i'_.� 1-ll �'��-ll� � <br /> —` <br /> .�. TRFti� <br /> \U`�i��,Nss�o!;G,�,�\ <br /> Q0 9�� 'S' <br /> � NOTARY �`� m\ <br /> PUf3LIC Z � <br /> N 10�24-200�J � <br /> ��� G�/ <br /> ��v�ASN�j <br /> Use thls space for Notary Seal <br /> t <br /> I a1� <br />