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CONTRACTOR'S ACKNOWLEDGMENT <br /> STATE F ) <br /> SS. <br /> COUNTY OF ) <br /> On is day of , 20 ,before me appeazed <br /> and to <br /> me known, to be the p on(s) described in and, who, being by me duly sworn, did say that <br /> he/she/they is/aze and of <br /> the CONTRACTOR named in the foregoing <br /> instrument, and that he/she/they ' aze authorized to sign said instrument on behalf of the <br /> CONTRACTOR, and acknowledges t t he/she/they executed said instrument as the free act and <br /> <br /> deed of the CONTRACTOR. <br /> (Signature) ' <br /> (Prins Name) <br /> (Notary Seal) <br /> Notary ublic, State of <br /> My commis 'on expires: <br /> 4 AGlSPO FORM-K(2) (1/Ol) <br /> <br />