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EASEMENT <br /> REPRESENTATIVE ACKNOWLEDGMENT <br /> STATE OF OREGON ) <br /> :ss. <br /> County of Multnomah ) <br /> I certify that I know or have satisfactory evidence that Dana White signed this instrument, on <br /> SV "r'w <br /> oath stated that-ke was authorized to execute the instrument and acknowledged it as the VICE <br /> PRESIDENT—REAL ESTATE AND CONSTRUCTION of PROVIDENCE HEALTH& <br /> SERVICES-WASHINGTON, A WASHINGTON NONPROFIT CORPORATION to be the free <br /> and voluntary act of such party for the uses and purposes mentioned in the instrument. <br /> Dated: J <br /> Signature of , - ) <br /> Notary Public: W <br /> Notary(print name) f"f"ylr1h A-n Illi d iby\ <br /> Residing at 1pbr 4-IAV-4, OR <br /> My appointment expires: 2,01-7 <br /> OFFICIAL STAMP <br /> HANNAH WILSON <br /> NOTARY PUBLIC-OREGON <br /> COMMISSION NO.921192 <br /> MY COMMISSION EXPIRES OCTOBER 14,2017 <br /> The terms and conditions of this easement are hereby accepted and approved by the City as of <br /> the date hereinabove set forth. <br /> CITY OF EVERET <br /> By: <br /> Title: 's'�G A,,�? <br /> �1, <br />