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(SINGLE PERSON) <br /> STATE OF WASHINGTON <br /> ss. <br /> COUNTY OF SNOHOMISH <br /> I certify that I know or have satisfactory evidence that�-� is the person <br /> who appeared before me,and said person acknowledged that said person signed this instrument and <br /> acknowledged it to be flee and voluntary act of said person for the uses and purposes mentioned in the <br /> instrument. 1 l <br /> Dated this \ \ � day of d .� <br /> 1 <br /> -goal re of Notary) <br /> �PGey S4 <br /> NE --- <br /> �� (legibly Pool or Stamp Nume of Notary) <br /> Notary public in and for the state qf <br /> Washington,residing at <br /> a'l 2 My appointment expires <br /> N� z,, ,y. 'AOZ <br /> i <br /> Cash Assurance Device to the City o 'Tverett <br /> 2930 Wetmore Avenue, Suite 8-A a Eiverett,WA 98201 • 425.257.8731 • fax 425.257.8742 ® www.everettwa.org <br /> 0-3-3� <br />