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STATE OF HAWAII ) <br /> SS. <br /> COUNTY OF HAWAII ) <br /> On this day of ,201 before me personally appeared <br /> ,to me personally known,who,being by me duly sworn, <br /> did say that he is the of the County of Hawai`i, a municipal corporation of the <br /> State of Hawai`i,that the seal affixed to the foregoing instrument is the corporate seal of said County <br /> of Hawaii,the foregoing instrument was signed and sealed on behalf of the County of Hawai`i by <br /> authority given to said of the County of Hawai`i by Sections <br /> 5-1.3 and 13-13 of the County Charter, County of Hawai`i(2010),as amended, and said <br /> acknowledged said instrument to be the free act and <br /> deed of said County of Hawaii. <br /> Signature <br /> Print or Type Name <br /> Notary Public, State of Hawai`i <br /> My Commission Expires: <br /> NOTARY CERTIFICATION <br /> Doc.Date: No. of Pages: <br /> Notary Name: Third Circuit <br /> Doc. Description: <br /> Notary Signature Date <br /> 4 <br />