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a <br />r1���/",�,�r,�' � <br />';a' � ni fr" ULL �� <br />ij � <br />................. <br />........... <br />CITY OF EVEAETT <br />Publfc Works Dep�, <br />1/ r <br />By: � �-dU " <br />Address: z `3 � � �GI nl� <br />Title: �11`���'�� b�-�'K?�1 <br />�.ia' WA q��0� <br />Telephone No.: `� ��• �51' I(�5� <br />Contact Person: �''��� �� <br />1. For an acknowledgement in an individual capacity: <br />STA►'E GF WASHINGTON, � � <br />lEA1F1� SHIFIET <br />�SS Ay A�7MilnwM Fipls Jal IS � <br />COUNTY OF SNOHObUSH <br />� <br />i certify that I know or have satisfactory evidence that f_ r=1:1 �\ 11 c:' a S'1i1 ���I <br />� <br />signed this instrument and acknowledeed it to be (his, her; their) &ee and voluntary act foYthe <br />uses and purposes mentioned in the instrument. <br />��v �nc <br />stare or N� �;�q�o„ <br />HEATHER _ '�7 <br />"'M'�PP��n� E�ires Jm ts, wos <br />_� <br />Dated: ` ! - � ` � f � -'' <br />_ � <br />,' <br />r',I-':.c�_t_ _. � . . -1,�.J`_i _ f'_ <br />Signature ofNotary Public ' <br />Notary (print name) Lf� ;i � l' y� �. � l,-t I�t <br />Residine at: 4�� `, (I ,`-�`,C �� I i� �..1�"�' <br />� <br />�I}• commissions expires: I�� S� L� <br />\ssls�nmcnt oE Funds, Page 2 of 3 <br />