SINGLE ACKNOWLEDGEMENT
THE STATE OF______________________________
COUNTY OF ______________________________ Before me, the undersigned authority,
a Notary Public in and for said County and State, on this day personally appeared
_________________________________________________________________________________
_______________________ known to me to be the person whose name___________________
__________________ subscribed to the foregoing instrument, and acknowledged to me
that he____________________________________ executed the same for the purposes and
consideration therein expressed.
Given under my hand and seal of office, this the_________________ day of
____________________, A.D. 19_________.
Notary Public in and for _____________________County, ______________________
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